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RV ASSISTED LIVING, LLC

Alzheimer Center

Rich Square, North Carolina

Provider NPI: 1912144601

Organization Information:
Organization Name:  RV ASSISTED LIVING, LLC


Practice Location:
400 NORTH MAIN STREET  RICH SQUARE, NC 27869 US
Tel: 252-539-4145  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
NCHAL-066-011
N343900000XTransportation Services
Non-emergency Medical Transport (VAN)
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility

Other Provider Identifiers:

IssuerNumberStateType
7805825NC05
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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