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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN AVE REST HOME

Active Organization

SOUTHERN AVE REST HOME is a Health Service Clinic organization located in FAYETTEVILLE, North Carolina. NPI 1083898589 is currently active in the NPPES registry. Verify at CMS.

Health Service Clinic · FAYETTEVILLE, NC

Registration Details

NPI Number
1083898589
Provider Type
Organization
NPI Issued
Dec 20, 2007 (18.696132347604 yrs)
Last Updated
Dec 20, 2007
License
FCL026012 (NC)

Practice Information

Address
1124 SOUTHERN AVE
FAYETTEVILLE, NC, 283061754
Browse NC providers · Browse ZIP 28306
Phone
9102868118
Primary Specialty
Health Service Clinic
261QH0100X

Other Health Service Clinic Organizations in FAYETTEVILLE, NC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.