Green Manor Rest Home, INC.
Assisted Living Facility in Parkton, NC. Organization (NPI-2).
NPI number1578747762
StatusActive
Last updated in NPPESDec 24, 2007
Details
- NPI
- 1578747762
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Manor Rest Home, INC.
- Organization subpart
- No
- Enumeration date
- Dec 24, 2007
- Last updated
- Dec 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | HAL-078-003 | NC | Yes |
Practice location
1083 West Parkton Tobemory RoadParkton, NC 28371
Phone 910-858-3005
Mailing address
Po Box 299Parkton, NC 28371-0299
Phone 910-858-3826
Authorized official
Zeddie Beebe Green
President
9108583826
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