Darrelle E Green
NPI #1235480849 in Parkton, North Carolina
Provider Information
- NPI Number
- 1235480849
- Entity Type
- Organization
- Organization Name
- Darrelle E Green
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 21, 2012
- Last Updated
- Sep 21, 2012
Practice Location
- Address
- 1165 W PARKTON TOBEMORY RD
- City
- Parkton
- State
- North Carolina
- ZIP Code
- 28371-0299
- Phone
- (910) 858-3826
Authorized Official
- Name
- DARRELLE E GREEN
- Title
- OWNER/OPERATOR
- Phone
- (910) 858-3826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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