Organization Name: | PIKE MANOR |
NPI Number: | 1255584108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN ANDERSON COCHRAN (SECRETARY/CORPORATE) |
Mailing Address: | 10642 Highway 19 N Zebulon |
State: | GA US |
Postal Code: | 302953192 |
Phone Number: | 7705670200 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2008 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 114030011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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. |