Southern Ave Rest Home
Southern Ave Rest Home is a Health Service Clinic/Center in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
1124 Southern AveFayetteville, NC 28306-1754
Phone: (910) 286-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence FCL026012 (NC) |
|---|
Record details
| NPI number | 1083898589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Neill Jones — Owner · (910) 484-4291 |
| NPI enumerated | December 20, 2007 |
| Last updated in NPPES | December 20, 2007 |
| Mailing address | 1124 Southern Ave, Fayetteville, NC 28306-1754 |
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