Organization
CARILLON ASSISTED LIVING OF HARRISBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVIE G. MADERIOS (ACCOUNTS RECEIVABLE MANAGER)
(919) 852-4000
Entity
Organization
Contact information
Practice address
6200 ROBERTA RD, HARRISBURG, NC 28075-8418
(704) 455-6226
Mailing address
4901 WATERS EDGE DR, STE. 200, RALEIGH, NC 27606-2464
(919) 852-4000
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
HAL-013-017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803442
—
NC
Enumeration date
05/18/2007
Last updated
08/22/2020
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