Organization
BYPETERSON PROPERTIES, LLC
Active
Other names
Brookstone Terrace Assisted Living Faciltiy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA K. PETERSON (MEMBER MANAGER)
(704) 502-3210
Entity
Organization
Contact information
Practice address
4430 CLINARD RD, CLEMMONS, NC 27012-8487
(336) 766-5000
(336) 766-5020
Mailing address
4430 CLINARD RD, CLEMMONS, NC 27012-8487
(336) 766-5000
(336) 766-5020
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
311500000X
Alzheimer Center (Dementia Center)
—
NC
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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