Five Star Quality Care - Obx Operator, Llc

NPI 1194877001 - Assisted Living Facility - 310400000X

NPI Details
NPI 1194877001
Enumeration Date 01/18/2007
Last Updated 09/16/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PAUL PAUL
Position CHIEF FINANCIAL OFFICER
Phone (704) 544-7220
Fax (704) 544-7221
Practice Location
11230 BALLANTYNE TRACE COURT
CHARLOTTE NC, 28277, US
Phone (704) 544-7220
Fax (704) 544-7221
Business Location
400 CENTRE STREET
NEWTON MA, 02458, US
Phone (617) 796-8160
Fax
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number HAL-060-086
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According to our database, Five Star Quality Care - Obx Operator, Llc NPI is 1194877001, taxonomy code is 310400000X and license number is HAL-060-086, license state is located at North Carolina. Five Star Quality Care - Obx Operator, Llc physically located at 11230 Ballantyne Trace Court, Charlotte NC, 28277. NPI Number 1033115704 has the healthcare provider type.

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1194877001 NPI number is provided on an as is basis without warranty of any kind. 1194877001 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Quality Care - Obx Operator, Llc are for informational purposes only.