Edenton Prime Time Retirement Village, LLC
NPI #1174608541 in Edenton, North Carolina
Provider Information
- NPI Number
- 1174608541
- Entity Type
- Organization
- Organization Name
- Edenton Prime Time Retirement Village, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 106 MARK DR
- City
- Edenton
- State
- North Carolina
- ZIP Code
- 27932-1756
- Phone
- (252) 482-4491
Authorized Official
- Name
- GUY S PIERCE
- Title
- MANAGING MEMBER
- Phone
- (336) 595-1075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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