B & B Assisted Living 5

Organization Active NPI Adult Care Home Facility · Maxton, NC

NPI 1790966232 · NPPES record last updated Jun 4, 2014

Key facts

NPI
1790966232
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
FCL078096 (NC)
Legal business name
B & B ASSISTED LIVING 5
Practice address
2133 Preston Rd
Maxton, NC 28364-8697
Phone
(910) 521-7335
Fax
(910) 522-0655
NPI assigned
Nov 26, 2007
Organization subpart
No

Authorized official

Name
Miss Beverly Maynor
Title
Administrator
Phone
(910) 521-7335

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
B B Assisted Living 5 (6 organizations share this tax ID)

Locations

2133 Preston Rd
Maxton, NC 28364
Phone (910) 521-7335

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL078096 NC Yes

Addresses

Primary practice location

2133 Preston Rd
Maxton, NC 28364-8697

Mailing address

2133 Preston Rd
Maxton, NC 28364-8697
Phone (910) 521-7335

Other identifiers

IdentifierTypeStateIssuer
7805029MedicaidNC
7804689MedicaidNC
7805242MedicaidNC

Other providers in Maxton, NC

All providers in Maxton, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.