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General NPI Number Information
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NPI Number | 1497442073
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Entity Type | Organization
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Legal Business Name | CB SENIOR LIVING, LLC
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1361 CAROLINA REST HOME RD
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870-8653
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Country | US
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Telephone | 252-333-2909
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Fax |
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Provider Business Mailing Address
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Address Line | 115 ILILDA DR
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City | HERTFORD
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State | NC
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Zip | 27944-9560
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Country | US
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Telephone | 252-333-2909
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. CATHERINE ELIZABETH ARMSTRONG
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Credential |
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Telephone | 252-333-2909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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