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Southern Assisted Living, Llc.
Assisted Living Facility in Statesville, North Carolina
NPI 1023174687

Southern Assisted Living, Llc. is an Assisted Living Facility based in Milwaukee, NC. Southern Assisted Living, Llc. practices in Statesville, NC. The NPI Number for Southern Assisted Living, Llc. is 1023174687 and holds a License No. (North Carolina).

The current practice location address for Southern Assisted Living, Llc. is 2441 E Broad St, Statesville, NC and can be reached out via phone at 704-872-1940 and via fax at 704-871-8617.

Location: 2441 E Broad St, Statesville, NC, 53214-5647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023174687
Provider Name
Southern Assisted Living, Llc.
Credential
Provider Entity Type
Organization
Address
2441 E Broad St, Statesville, NC, 53214-5647
Phone Number
704-872-1940
Fax Number
704-871-8617
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803887 05 NC
institution
Provider Business Practice Location Address Details
Address
2441 E Broad St
City
Statesville
State
North Carolina
Zip
28625-4407
Phone Number
704-872-1940
Fax Number
704-871-8617
person
Provider Business Mailing Address Details
Address
2441 E Broad St
City
Statesville
State
North Carolina
Zip
28625-4407
Phone Number
704-872-1940
Fax Number
704-871-8617
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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.
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