Organization
WALLACE GARDENS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH W BIGLER (PRESIDENT)
(910) 521-5550
Entity
Organization
Contact information
Practice address
1052 NE RAILROAD ST, WALLACE, NC 28466-0544
(910) 521-5550
Mailing address
PO BOX 1179, PEMBROKE, NC 28372-1179
(910) 521-5550
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 031 016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805861
—
NC
Enumeration date
08/14/2007
Last updated
06/11/2008
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