34D2066986 CLIA NUMBER - ONSLOW HOUSE

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Laboratory Demographics

CLIA Number: 34D2066986

Facility Name: ONSLOW HOUSE

Facility Address:
34 MCDANIEL DRIVE
JACKSONVILLE, NC
ZIP 28546
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Facility Phone Number: 910 347-1300

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1629401203

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	34D2066986
LAB Type	Assisted Living Facility
Facility Name	ONSLOW HOUSE
Street	34 MCDANIEL DRIVE
City	JACKSONVILLE
State	NC
ZIP	28546
Phone	910 347-1300
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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