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 |