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CAMELOT MANOR INC

Alzheimer Center

Granite Falls, North Carolina

Provider NPI: 1720188915

Organization Information:
Organization Name:  CAMELOT MANOR INC


Practice Location:
56 N HIGHLAND AVE DBA BROCKFORD INN INC GRANITE FALLS, NC 28630 US
Tel: 828-396-3111  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
NCHAL-014-014
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NCHAL-014-014

Other Provider Identifiers:

IssuerNumberStateType
STATE NUMBER600480534NC01
7805030NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS NC - Page 1



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