Tillery's Place, LLC
NPI #1386010908 in Rocky Mount, North Carolina
Provider Information
- NPI Number
- 1386010908
- Entity Type
- Organization
- Organization Name
- Tillery's Place, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 18, 2015
- Last Updated
- Aug 18, 2015
Practice Location
- Address
- 200 S TILLERY ST
- City
- Rocky Mount
- State
- North Carolina
- ZIP Code
- 27804-5527
- Phone
- (252) 446-6613
Authorized Official
- Name
- MISS SHAVONNIE DEANS
- Title
- OWNER
- Phone
- (252) 446-6613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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