Organization
BOYD'S REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DAVIS (ADMINISTRATOR)
(252) 257-3513
Entity
Organization
Contact information
Practice address
295 CARROLL TOWN RD, MACON, NC 27551-9292
(252) 257-3513
Mailing address
295 CARROLL TOWN RD, MACON, NC 27551-9292
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
FCL-093001
NC
311ZA0620X
Adult Care Home Facility
Primary
HAL-093001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801778
—
NC
05
—
7802700
—
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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