Wellington Park Opco LLC
NPI #1780372987 in Kenansville, North Carolina
Provider Information
- NPI Number
- 1780372987
- Entity Type
- Organization
- Organization Name
- Wellington Park Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 26, 2023
- Last Updated
- Apr 26, 2023
Practice Location
- Address
- 329 COOPER STREET
- City
- Kenansville
- State
- North Carolina
- ZIP Code
- 28349
- Phone
- (910) 296-0333
Authorized Official
- Name
- ROBERT CRUMMIE, NC ADMINISTRATOR
- Title
- ADMINISTRATOR
- Phone
- (910) 296-0333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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