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Pen-du Rest Home
Adult Care Home Facility in Wallace, North Carolina
NPI 1326171893

Pen-du Rest Home is an Adult Care Home Facility based in Wallace, NC and is specialized in Adult Care Home. Pen-du Rest Home practices in Wallace, NC. The NPI Number for Pen-du Rest Home is 1326171893 and holds a License No. HAL-071-001 (North Carolina).

The current practice location address for Pen-du Rest Home is 685 Nc Highway 50, Wallace, NC and can be reached out via phone at 910-259-4469 and via fax at 910-259-3844.

Location: 685 Nc Highway 50, Wallace, NC, 28466-9316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326171893
Provider Name
Pen-du Rest Home
Credential
Provider Entity Type
Organization
Address
685 Nc Highway 50, Wallace, NC, 28466-9316
Phone Number
910-259-4469
Fax Number
910-259-3844
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7802025 05 NC
institution
Provider Business Practice Location Address Details
Address
685 Nc Highway 50
City
Wallace
State
North Carolina
Zip
28466-9316
Phone Number
910-259-4469
Fax Number
910-259-3844
person
Provider Business Mailing Address Details
Address
685 Nc Highway 50
City
Wallace
State
North Carolina
Zip
28466-9316
Phone Number
910-259-4469
Fax Number
910-259-3844
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
HAL-071-001 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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