Organization
FREMONT REST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE PIERCE (MANAGING PARTNER)
(336) 643-0555
Entity
Organization
Contact information
Practice address
300 SOUTH STREET, FREMONT, NC 27830
(919) 242-6161
(919) 242-5187
Mailing address
PO BOX 878, OAK RIDGE, NC 27310-0878
(336) 643-0555
(336) 643-0553
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-096-024
NC
311ZA0620X
Adult Care Home Facility
Primary
HAL-096-024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804344
—
NC
Enumeration date
03/06/2007
Last updated
06/25/2013
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