SOVRAN SENIOR LIVING LLC NPI 1508134685

NPI Information

  • NPI: 1508134685
  • Provider Name: SOVRAN SENIOR LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: SSL OF MOUNT OLIVE NC LLC
  • Address: 600 SMITH CHAPEL RD
    MOUNT OLIVE, NC
    ZIP 28365
  • Phone: (919) 658-6501

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NPI Details

SOVRAN SENIOR LIVING, LLC is an assisted living facility in Mount Olive, NC. The provider is 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. SOVRAN SENIOR LIVING, LLC NPI is 1508134685. The provider is registered as an organization entity type.
The provider Other Name Is Ssl Of Mount Olive Nc Llc.

The provider's business location address is:

600 SMITH CHAPEL RD
MOUNT OLIVE, NC
ZIP 28365-632
Phone: (919) 658-6501
Fax: (919) 658-6799

The provider's authorized official is Dorene M Ford .
The authorized official title is Director Of Mis and has the following contact phone number (239) 659-4900.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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