34D2168651 CLIA NUMBER - ROLLING RIDGE ASSISTED LIVING

Laboratory Demographics

CLIA Number: 34D2168651

Facility Name: ROLLING RIDGE ASSISTED LIVING

Facility Address:
700 MOUNT OLIVE DRIVE
NEWTON GROVE, NC
ZIP 28366
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Facility Phone Number: 910 594-2100

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1801951926

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	34D2168651
LAB Type	Assisted Living Facility
Facility Name	ROLLING RIDGE ASSISTED LIVING
Street	700 MOUNT OLIVE DRIVE
City	NEWTON GROVE
State	NC
ZIP	28366
Phone	910 594-2100
CertificateType	4
CertificateEffectiveDate	7/5/2023
CertificateExpirationDate	7/4/2025
FacilityType	Waiver

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