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POOLE'S REST HOME

Assisted Living, Mental Illness

Yanceyville, North Carolina

Provider NPI: 1801006788

Organization Information:
Organization Name:  POOLE'S REST HOME


Practice Location:
201 MARY JANE BIGELOW RD  YANCEYVILLE, NC 27379 US
Tel: 336-694-5611  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
NCHAL-017-006

Other Provider Identifiers:

IssuerNumberStateType
7804039NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS NC - Page 1