Life St. Joseph of the Pines, Inc.
NPI #1750692620 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1750692620
- Entity Type
- Organization
- Organization Name
- Life St. Joseph of the Pines, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST JOSEPH OF THE PINES
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Jun 25, 2010
- Last Updated
- Feb 8, 2013
Practice Location
- Address
- 4900 RAEFORD RD
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28304-3142
- Phone
- (910) 483-4911
Authorized Official
- Name
- MR. ROBERT LAWRENCE DICKSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (910) 429-7255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
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