Alexandria Adelaide, INC.
Assisted Living Facility in Reidsville, NC. Organization (NPI-2).
NPI number1720145113
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720145113
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexandria Adelaide, INC.
- Organization subpart
- No
- Enumeration date
- Jan 3, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | HAL-079-004 | NC | Yes |
Other names
- Pine Forrest Home For The Aged (Doing Business As)
Practice location
312 Broad StReidsville, NC 27320-6506
Phone 336-342-4946 · Fax 336-342-4799
Mailing address
Po Box 26Reidsville, NC 27323-0026
Phone 336-342-4946 · Fax 336-342-4799
Authorized official
Alexandria Battle
Owner
3363424946
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