NPI | 1629298328 |
---|---|
Doing Business As | LOUISBURG GARDENS |
Entity Type | Organization |
Authorized Contact | TIFFANY COLLETTE EVERETT President 252-946-6617 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NC HAL035013) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |