| NPI | 1013473537 |
|---|---|
| Other Name | MALLARD RIDGE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CINDY ANN NEAGLE VP Finance 336-993-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-04-22 |