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Irene Small
Assisted Living Facility in Henderson, North Carolina
NPI 1710158993

Irene Small is an Assisted Living Facility based in Henderson, NC. Irene Small practices in Henderson, NC. The NPI Number for Irene Small is 1710158993 and holds a License No. FCL091008 (North Carolina).

The current practice location address for Irene Small is 1421 Ross Mill Rd, Henderson, NC and can be reached out via phone at 252-492-2316.

Location: 1421 Ross Mill Rd, Henderson, NC, 27537
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Provider Profile Details
NPI Number
1710158993
Provider Name
Irene Small
Credential
Provider Entity Type
Individual
Gender
Female
Address
1421 Ross Mill Rd, Henderson, NC, 27537
Phone Number
252-492-2316
Fax Number
Provider Enumeration Date
03/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7803224 05 NC
institution
Provider Business Practice Location Address Details
Address
1421 Ross Mill Rd
City
State
Zip
27537-5965
Phone Number
252-492-2316
Fax Number
person
Provider Business Mailing Address Details
Address
1421 Ross Mill Rd
City
State
Zip
27537-5965
Phone Number
252-492-2316
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
FCL091008 (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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