NPI 1649355439

Clemmons Assisted Living LLC

Organisation Assisted Living Facility Clemmons, NC

Practice location

Address: 6441 Holder Rd, Clemmons, NC 27012-9207
Phone: (336) 778-8548
Fax: (336) 778-8875

Authorised official

Name: Aldo Baccala
Title: Owner / Manager
Phone: (707) 778-6713

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence HAL-034-062 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1649355439
Entity type: Organization
NPI issued: 27 Oct 2006
Record last updated: 22 Aug 2020

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.