FOREST TRAIL OF CLINTON, LLC
Assisted Living Facility
Clinton, North Carolina
Provider NPI: 1699761718
Organization Information:Organization Name: FOREST TRAIL OF CLINTON, LLC
Practice Location:
213 FOREST TRL CLINTON, NC 28328 US
Tel: 910-592-7506 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
213 FOREST TRL CLINTON, NC 28328 US
Tel: 910-592-7506 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | HAL082014 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7805300 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin