NPI 1962803551

Carillon Assisted Living of Clemmons, LLC

Organisation Custodial Care Facility Clemmons, NC

Practice location

Address: 1165 S Peace Haven Rd, Clemmons, NC 27012-8910
Phone: (336) 766-6220
Fax: (336) 766-6221

Authorised official

Name: Karen E Moriarty
Title: President & Ceo
Phone: (919) 852-4000

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence HAL-034-099 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1962803551
Entity type: Organization
NPI issued: 15 Sep 2014
Record last updated: 15 Sep 2014

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.