Organization · Type 2 NPI

Southern Assisted Living, Llc.

Assisted Living Facility · Statesville, NC

NPI number 1295890309 Active

Practice location

2814 Peachtree Rd
Statesville, NC 28625-8204

Call (704) 872-1946 Map

Fax (704) 872-1992

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None 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.

Other assisted living facility providers in Statesville

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NPI record

NPI: 1295890309
Entity type: Organization (Type 2)
Issued: Dec 27, 2006
Last updated: Apr 8, 2021
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Brookdale Peachtree MC · doing business as

Authorized official

Joanne K Leskowicz
Senior Vice President
(414) 918-5000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295890309

Southern Assisted Living, Llc.'s National Provider Identifier is 1295890309, issued on Dec 27, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Statesville, NC. The record was last updated on Apr 8, 2021.