National Provider Identifier Database

FOUR OAKS ASSISTED LIVING
Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.


Contact Information

FOUR OAKS ASSISTED LIVING
565 BOYETTE RD.
FOUR OAKS, NC27524
Phone: 910-285-5352
Fax:
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for FOUR OAKS ASSISTED LIVING

NPI Number 1326265356
Legal business name
LBN
FOUR OAKS ASSISTED LIVING
Authorized official NINA WILLIAMS - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/19/2007
Last updated 06/19/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: HAL 051-026
  • NC Medicaid: 7805537

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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