Organization · NPI-2
Cb Senior Living, LLC
Custodial Care Facility, Adult Care Home · Roanoke Rapids, NC
NPI number1497442073
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1497442073
- Entity type
- Organization (NPI-2)
- Legal business name
- Cb Senior Living, LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2023
- Certification date
- Apr 22, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Other names
- Roanoke Senior Living (Doing Business As)
Practice location
1361 Carolina Rest Home RdRoanoke Rapids, NC 27870-8653
Phone 252-333-2909
Mailing address
115 Ililda DrHertford, NC 27944-9560
Phone 252-333-2909
Authorized official
Catherine Elizabeth Armstrong
Managing Member
2523332909
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