Forever Young Retreat Ii

LBN: Jeanne Culp Moore
Forever Young Retreat Ii is an health care organization with primary practice located at 44867 Byrd Rd , Albemarle NC 28001-7808. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Jeanne Culp Moore can be contacted via phone (704) 422-6529, or through Moore, Jeanne Culp via phone (704) 422-6529.

Contact Information

Primary practice address
44867 Byrd Rd Albemarle NC 28001-7808
Phone: (704) 422-6529
Fax: (704) 422-6528
Website:
Map and Directions
Authorized official contact:
Name: Moore, Jeanne Culp
Phone: (704) 422-6529

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X FCL-084-005 North Carolina

Profile Details

NPI number 1982756862
LBN Legal business name Jeanne Culp Moore
DBA Doing business as Forever Young Retreat Ii
Authorized official Moore, Jeanne Culp
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982756862 NPPES
North Carolina MEDICAID 7805661

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