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WILKESBORO LIVIG CENTER LLC

Adult Care Home

Wilkesboro, North Carolina

Provider NPI: 1992942973

Organization Information:
Organization Name:  WILKESBORO LIVIG CENTER LLC


Practice Location:
176 RESTHOME RD  WILKESBORO, NC 28697 US
Tel: 336-973-3890  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCHAL097012

Other Provider Identifiers:

IssuerNumberStateType
LICENSEHAL097012NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1