Forest Hill Group Home

LBN: Magnolia Lane Llc
Forest Hill Group Home is an health care organization with primary practice located at 3510 Camden Rd , Fayetteville NC 28306-7717. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Magnolia Lane Llc can be contacted via phone (910) 425-8751, or through Tew, Judy B via phone (910) 425-8751.

Contact Information

Primary practice address
3510 Camden Rd Fayetteville NC 28306-7717
Phone: (910) 425-8751
Fax: (910) 644-1257
Website:
Map and Directions
Authorized official contact:
Name: Tew, Judy B OWNER
Phone: (910) 425-8751

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X SCL026031 North Carolina

Profile Details

NPI number 1740466937
LBN Legal business name Magnolia Lane Llc
DBA Doing business as Forest Hill Group Home
Authorized official Tew, Judy B OWNER
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 18 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 1740466937 NPPES
North Carolina MEDICAID 7805591

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