Organization
NCAL-ACQUISITION I, INC
Active
Other names
SOMERSET COURT OF NEWPORT
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BENTON (CEO)
(336) 724-1000
Entity
Organization
Contact information
Practice address
3020 MARKET ST, NEWPORT, NC 28570-8708
(252) 223-2600
(252) 223-4754
Mailing address
1105 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-2524
(336) 724-1000
(336) 724-9955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-016-007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803998
—
NC
Enumeration date
01/08/2007
Last updated
08/22/2020
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