<Unavail>

LBN: Kings Mountain Memory Care Center
<Unavail> is an health care organization with primary practice located at 115 Ferguson Dr , Kings Mountain NC 28086-9727. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Kings Mountain Memory Care Center can be contacted via phone (704) 739-5929, or through Adelekun, Patricia Odegua via phone (704) 718-2327.

Contact Information

Primary practice address
115 Ferguson Dr Kings Mountain NC 28086-9727
Phone: (704) 739-5929
Fax: (704) 739-1103
Website:
Map and Directions
Authorized official contact:
Name: Adelekun, Patricia Odegua RN, MBA
Phone: (704) 718-2327

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1033343157
LBN Legal business name Kings Mountain Memory Care Center
DBA Doing business as <Unavail>
Authorized official Adelekun, Patricia Odegua RN, MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2009
Last updated Sep 4th, 2024 - about 2 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 1033343157 NPPES
North Carolina MEDICAID 7801288

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