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Edenton Retirement Community, Llc
Adult Care Home Facility in Edenton, North Carolina
NPI 1790001246

Edenton Retirement Community, Llc is an Adult Care Home Facility based in Randleman, NC and is specialized in Adult Care Home. Edenton Retirement Community, Llc practices in Edenton, NC. The NPI Number for Edenton Retirement Community, Llc is 1790001246 and holds a License No. (North Carolina).

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

Location: 106 Mark Dr, Edenton, NC, 27317-0814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790001246
Provider Name
Edenton Retirement Community, Llc
Credential
Provider Entity Type
Organization
Address
106 Mark Dr, Edenton, NC, 27317-0814
Phone Number
252-482-4491
Fax Number
Provider Enumeration Date
04/08/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7806302 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-021-008 (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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
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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