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Organization

CRESCENT GREEN OF CARRBORO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRI L EVERETT (BUSINESS OFFICE MANAGER)
(919) 933-9570
Entity
Organization

Contact information

Practice address
624 JONES FERRY ROAD, CARRBORO, NC 27510
(919) 933-9570
(919) 933-9572
Mailing address
624 JONES FERRY ROAD, CARRBORO, NC 27510
(919) 933-9570
(919) 933-9572

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-068-024
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7805622
NC
Enumeration date
02/15/2007
Last updated
08/25/2020
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