Organization
SOUTHERN LIVING FOR SENIORS OF LOUISBURG NC
Active
Other names
Southern Living for Seniors
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HENDRY (COO)
(850) 253-5990
Entity
Organization
Contact information
Practice address
361 LEONARD RD, LOUISBURG, NC 27549-8412
(850) 253-5990
Mailing address
1786 NE COUNTY ROAD 150, MADISON, FL 32340-3617
(850) 464-4343
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
NC
Enumeration date
09/21/2017
Last updated
09/25/2017
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