National Provider Identifier Database

DIXIE REST HOME 1
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

DIXIE REST HOME 1
310 NORTH MARTIN LUTHER KING AVENUE
ENFIELD, NC27823
Phone: 252-445-5665
Fax: 252-445-3466
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for DIXIE REST HOME 1

NPI Number 1417028135
Legal business name
LBN
DIXIE REST HOME 1
Authorized official RONALD WOOD - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: HAL042002
  • NC Medicaid: 7801459

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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