Organization
ZOLLIEVILLE REST HOME NO2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WARRENETTA M STEVENSON (ADMINISTRATOR)
(919) 496-4170
Entity
Organization
Contact information
Practice address
1437 EAST RIVER RD, LOUISBURG, NC 27549-8584
(919) 496-4170
(919) 496-5639
Mailing address
1437 EAST RIVER RD, LOUISBURG, NC 27549-8584
(919) 496-4170
(919) 496-5639
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL035-014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804990
—
NC
Enumeration date
04/14/2007
Last updated
07/16/2008
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