1124191804 STATESVILLE ASSISTED LIVING

Preferred Provider Organization

Active

Basic Information

Organization Name
STATESVILLE ASSISTED LIVING
Enumeration Date
November 17, 2006
Last Update
August 22, 2020
Authorized Official
MR. ALDO BACCALA
EXECUITVE OFFICER
Phone: (707) 778-6719

Practice Location

Address
2147 DAVIE AVE
STATESVILLE, NC 286259200
Phone
(704) 878-0123
Fax
(704) 878-8689

Mailing Address

Address
2147 DAVIE AVE
STATESVILLE, NC 286259200
Phone
(704) 878-0123
Fax
(704) 878-8689

Specialties & Taxonomies

Specialty Code Classification License State Primary
Preferred Provider Organization
 305R00000X Preferred Provider Organization HAL-049-023 NC Primary

Other Identifiers

Identifier Type State Issuer
7804765 05 NC N/A

Frequently Asked Questions

What is STATESVILLE ASSISTED LIVING's NPI number?
STATESVILLE ASSISTED LIVING's NPI number is 1124191804.
Which doctor has NPI number 1124191804?
The doctor with NPI number 1124191804 is STATESVILLE ASSISTED LIVING.
What is STATESVILLE ASSISTED LIVING's practice address?
STATESVILLE ASSISTED LIVING's practice address is 2147 DAVIE AVE, STATESVILLE, NC, 286259200.
Which doctor practices at 2147 DAVIE AVE, STATESVILLE, NC, 286259200?
STATESVILLE ASSISTED LIVING practices at 2147 DAVIE AVE, STATESVILLE, NC, 286259200.
What is STATESVILLE ASSISTED LIVING's phone number?
STATESVILLE ASSISTED LIVING's phone number is (704) 878-0123.
Who is (704) 878-0123?
(704) 878-0123 is the phone number for STATESVILLE ASSISTED LIVING.
What is STATESVILLE ASSISTED LIVING's specialty?
STATESVILLE ASSISTED LIVING's specialty is Preferred Provider Organization.
What type of doctor is STATESVILLE ASSISTED LIVING?
STATESVILLE ASSISTED LIVING is a Preferred Provider Organization.
Is STATESVILLE ASSISTED LIVING a Preferred Provider Organization?
Yes, STATESVILLE ASSISTED LIVING is a Preferred Provider Organization.
Is STATESVILLE ASSISTED LIVING still practicing?
Yes, STATESVILLE ASSISTED LIVING is currently practicing.
Is STATESVILLE ASSISTED LIVING accepting new patients?
STATESVILLE ASSISTED LIVING may be accepting new patients. Please call their office at (704) 878-0123 to inquire about availability.
Is NPI 1124191804 still active?
Yes, NPI 1124191804 is currently active.
Where does STATESVILLE ASSISTED LIVING practice?
STATESVILLE ASSISTED LIVING practices in STATESVILLE, NC.