| NPI | 1598803082 |
|---|---|
| Doing Business As | STAFFORD GLEN ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | PHILLIP GLENN BATTEN President 252-752-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-074-030) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |