Organization · Type 2 NPI

Southern Assisted Living, Llc.

Assisted Living Facility · Eden, NC

NPI number 1093870123 Active

Practice location

314 W Kings Hwy
Eden, NC 27288-5012

Fax (336) 623-5144

Mailing address

6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1093870123

Southern Assisted Living, Llc.'s National Provider Identifier is 1093870123, issued on Dec 27, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Eden, NC. The record was last updated on Apr 7, 2021.