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Southern Assisted Living, Llc.
Assisted Living Facility in Wake Forest, North Carolina
NPI 1699831594

Southern Assisted Living, Llc. is an Assisted Living Facility based in Milwaukee, NC. Southern Assisted Living, Llc. practices in Wake Forest, NC. The NPI Number for Southern Assisted Living, Llc. is 1699831594 and holds a License No. (North Carolina).

The current practice location address for Southern Assisted Living, Llc. is 611 Brooks St, Wake Forest, NC and can be reached out via phone at 919-562-8400 and via fax at 919-562-4687.

Location: 611 Brooks St, Wake Forest, NC, 53214-5647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699831594
Provider Name
Southern Assisted Living, Llc.
Credential
Provider Entity Type
Organization
Address
611 Brooks St, Wake Forest, NC, 53214-5647
Phone Number
919-562-8400
Fax Number
919-562-4687
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7803892 05 NC
institution
Provider Business Practice Location Address Details
Address
611 Brooks St
City
Wake Forest
State
North Carolina
Zip
27587-2978
Phone Number
919-562-8400
Fax Number
919-562-4687
person
Provider Business Mailing Address Details
Address
611 Brooks St
City
Wake Forest
State
North Carolina
Zip
27587-2978
Phone Number
919-562-8400
Fax Number
919-562-4687
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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