Providence Healthcare of the Carolinas

Organization Active NPI Assisted Living Facility · Smithfield, NC

NPI 1497260608 · NPPES record last updated Dec 11, 2017

Key facts

NPI
1497260608
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
PROVIDENCE HEALTHCARE OF THE CAROLINAS
Practice address
4302 Hwy NC 210
Smithfield, NC 27577
NPI assigned
Dec 11, 2017
Organization subpart
No

Authorized official

Name
Mrs. Termaine Moore
Title
Executive Director
Phone
(919) 247-4760

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NC Yes

Addresses

Primary practice location

4302 Hwy NC 210
Smithfield, NC 27577

Mailing address

PO Box 464
Wendell, NC 27591-0464
Phone (919) 247-4760

Other names

  • Providence Assisted Living Doing business as

Other providers in Smithfield, NC

All providers in Smithfield, NC · Assisted Living Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.