Organization
TARA PLANTATION OF CARTHAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LENENA JUSTINE PEGG (BUSINESS OFFICE MANAGER)
(910) 947-5888
Entity
Organization
Contact information
Practice address
820 S. MCNEILL STREET, CARTHAGE, NC 28327
(910) 947-5888
(910) 947-6116
Mailing address
PO BOX 248, CARTHAGE, NC 28327
(910) 947-5888
(910) 947-6116
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-063-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803766
—
NC
Enumeration date
10/04/2006
Last updated
08/22/2020
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