34D2019406 CLIA NUMBER - AHOSKIE HOUSE

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Laboratory Demographics

CLIA Number: 34D2019406

Facility Name: AHOSKIE HOUSE

Facility Address:
407 LOFTIN LANE
AHOSKIE, NC
ZIP 27910
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Facility Phone Number: 252 862-4800

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1417943507

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2019406
LAB Type	Assisted Living Facility
Facility Name	AHOSKIE HOUSE
Street	407 LOFTIN LANE
City	AHOSKIE
State	NC
ZIP	27910
Phone	252 862-4800
CertificateType	4
CertificateEffectiveDate	1/28/2023
CertificateExpirationDate	1/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024