Organization Name: | PRESTWICK VILLAGE ASSISTED LIVING |
NPI Number: | 1104968866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL G BROOKS (MEMBER MANAGER) |
Mailing Address: | 1000 Johns Rd Laurinburg |
State: | NC US |
Postal Code: | 283525122 |
Phone Number: | 9102765950 |
Fax Number: | 9102765935 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | HAL083-011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |