| NPI | 1013008234 |
|---|---|
| Doing Business As | CLEMMONS VILLAGE I |
| Entity Type | Organization |
| Authorized Contact | ERIC HADLEY COO 843-296-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-034-090) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-06-21 |