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Edenton Prime Time Retirement Village, Llc
Assisted Living Facility in Edenton, North Carolina
NPI 1174608541

Edenton Prime Time Retirement Village, Llc is an Assisted Living Facility based in Kernersville, NC. Edenton Prime Time Retirement Village, Llc practices in Edenton, NC. The NPI Number for Edenton Prime Time Retirement Village, Llc is 1174608541 and holds a License No. HAL-021-005 (North Carolina).

The current practice location address for Edenton Prime Time Retirement Village, Llc is 106 Mark Dr, Edenton, NC and can be reached out via phone at 252-482-4491.

Location: 106 Mark Dr, Edenton, NC, 27285-1487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174608541
Provider Name
Edenton Prime Time Retirement Village, Llc
Credential
Provider Entity Type
Organization
Address
106 Mark Dr, Edenton, NC, 27285-1487
Phone Number
252-482-4491
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7804339 05 NC
institution
Provider Business Practice Location Address Details
Address
106 Mark Dr
City
Edenton
State
North Carolina
Zip
27932-1756
Phone Number
252-482-4491
Fax Number
person
Provider Business Mailing Address Details
Address
106 Mark Dr
City
Edenton
State
North Carolina
Zip
27932-1756
Phone Number
252-482-4491
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
HAL-021-005 (North Carolina)
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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