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Statesville Assisted Living
Preferred Provider Organization in Statesville, North Carolina
NPI 1124191804

Statesville Assisted Living is a Preferred Provider Organization based in Statesville, NC. Statesville Assisted Living practices in Statesville, NC. The NPI Number for Statesville Assisted Living is 1124191804 and holds a License No. HAL-049-023 (North Carolina).

The current practice location address for Statesville Assisted Living is 2147 Davie Ave, Statesville, NC and can be reached out via phone at 704-878-0123 and via fax at 704-878-8689. You can also correspond with Statesville Assisted Living through the mailing address at 2147 DAVIE AVE, STATESVILLE, NC - 28625-9200 (mailing address contact number: 704-878-0123).

Location: 2147 Davie Ave, Statesville, NC, 28625-9200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124191804
Provider Name
Statesville Assisted Living
Credential
Provider Entity Type
Organization
Address
2147 Davie Ave, Statesville, NC, 28625-9200
Phone Number
704-878-0123
Fax Number
704-878-8689
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804765 05 NC
institution
Provider Business Practice Location Address Details
Address
2147 Davie Ave
City
Statesville
State
North Carolina
Zip
28625-9200
Phone Number
704-878-0123
Fax Number
704-878-8689
person
Provider Business Mailing Address Details
Address
2147 Davie Ave
City
Statesville
State
North Carolina
Zip
28625-9200
Phone Number
704-878-0123
Fax Number
704-878-8689
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
HAL-049-023 (North Carolina)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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