Organization
COMMUNITY ALTERNATIVE HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBERT NICHOLS ILL III (PROGRAM DIRECTOR)
(910) 486-8989
Entity
Organization
Contact information
Practice address
101 MICHAEL LN, ABERDEEN, NC 28315-2223
(910) 944-1367
(910) 944-1572
Mailing address
PO BOX 1721, FAYETTEVILLE, NC 28302-1721
(910) 486-8989
(910) 484-6033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL 026-033
NC
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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