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NPI Code Detail

MEDICARE: A VISION COME TRUE ASSISTANT LIVING FACILITY LLC

MEDICARE: A VISION COME TRUE ASSISTANT LIVING FACILITY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311Z00000XCustodial Care Facility

General Provider Information

NPI Number : 1427872027
Entity Type Code : Organization
Provider Name (Legal Business Name) : A VISION COME TRUE ASSISTANT LIVING FACILITY LLC
Provider Business Mailing Address
First Line : PO BOX 35
Second Line :
City : BURLINGTON
State : NC
Zip : 27216-0035
Country : US
Telephone Number : 910-670-5700
Fax Number :
Provider Business Practice Location Address
First Line : 220 HATCH ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27217-2318
Country : US
Telephone Number : 336-550-9999
Fax Number : 336-550-9998
Authorized Official
Title or Position : OWNER
Name : TAMMIE WRIGHT STATON
Credential :
Telephone Number : 910-670-5700
Provider Enumeration Date : 11/11/2024
Last Update Date : 10/29/2025

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Directions to “A VISION COME TRUE ASSISTANT LIVING FACILITY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.