Organization Name: | CAGLES REST HOME |
NPI Number: | 1457471948 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA A CAGLE (OWNER) |
Mailing Address: | 601 Dover Rd Star |
State: | NC US |
Postal Code: | 273567772 |
Phone Number: | 9104284350 |
Fax Number: | 9104284376 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | HAL062003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |