NPI | 1649355439 |
---|---|
Doing Business As | CLEMMONS VILLAGE II |
Entity Type | Organization |
Authorized Contact | ALDO BACCALA Owner / Manager 707-778-6713 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-034-062) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-08-22 |