Carillon Assisted Living of Wake Forest LLC
NPI #1639585649 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1639585649
- Entity Type
- Organization
- Organization Name
- Carillon Assisted Living of Wake Forest LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CARILLON ASSISTED LIVING, LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Jul 10, 2014
- Last Updated
- Sep 15, 2014
Practice Location
- Address
- 3218 HERITAGE TRADE DR
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-4238
- Phone
- (919) 569-2101
Authorized Official
- Name
- MRS. KAREN ELENA MORIARTY
- Title
- PRESIDENT AND CEO
- Phone
- (919) 852-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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