NPI 1255571766

Fayetteville Manor, LLC

Organisation Assisted Living Facility Fayetteville, NC

Practice location

Address: 231 Treetop Dr, Fayetteville, NC 28311-0606
Phone: (910) 488-4821
Fax: (910) 488-5069
Mailing address: PO Box 9895, Fayetteville, NC 28311-9093

Authorised official

Name: Thomas Husvar
Title: Member
Phone: (704) 608-0761

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence HAL-026-054 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1255571766
Entity type: Organization
NPI issued: 23 Feb 2009
Record last updated: 23 Feb 2009

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.