NPI 1023399292

Chavis Manor, LLC

Organisation Assisted Living Facility (Mental Illness) Gibsonville, NC

Practice location

Address: 204 Circle Dr, Gibsonville, NC 27249-2310
Phone: (336) 437-5873

Authorised official

Name: Deirdre Lea Milton
Title: Owner
Phone: (336) 437-5873

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence MHL041-1022 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1023399292
Entity type: Organization
NPI issued: 1 Sep 2011
Record last updated: 1 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.