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CUMBERLAND VILLAGE ASSISTED LIVING LLC NPI 1669819157


NPI Information

NPI: 1669819157
Provider Name: CUMBERLAND VILLAGE ASSISTED LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1124 CEDAR CREEK RD
FAYETTEVILLE, NC
ZIP 28312
Phone: (910) 323-8212
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CUMBERLAND VILLAGE ASSISTED LIVING, LLC is an assisted living facility in Fayetteville, 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. CUMBERLAND VILLAGE ASSISTED LIVING, LLC NPI is 1669819157. The provider is registered as an organization entity type.

The provider's business location address is:

1124 CEDAR CREEK RD
FAYETTEVILLE, NC
ZIP 28312-544
Phone: (910) 323-8212

The provider's authorized official is David Dean Wilson .
The authorized official title is Managing Partner and has the following contact phone number (336) 495-2700.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 5/24/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeNo
2310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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