Organization
MOORESVILLE SENIOR LIVING, LLC
Active
Other names
Churchill Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY DUNN (CRO REPRESENTATIVE)
(503) 485-4948
Entity
Organization
Contact information
Practice address
140 CARRIAGE CLUB DR, MOORESVILLE, NC 28117-9284
(704) 658-1200
(503) 485-1279
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1177
(503) 375-9016
(503) 485-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-049-025
NC
311500000X
Alzheimer Center (Dementia Center)
HAL-049-025
NC
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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