Provider Demographics
NPI:1093196396
Name:INTEGRITY-CANDLER LIVING CENTER, LLC
Entity Type:Organization
Organization Name:INTEGRITY-CANDLER LIVING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-543-1818
Mailing Address - Street 1:150 FAYETTEVILLE ST
Mailing Address - Street 2:BOX 1011
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1395
Mailing Address - Country:US
Mailing Address - Phone:904-543-1818
Mailing Address - Fax:904-543-1808
Practice Address - Street 1:136 ROBINSON COVE RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9490
Practice Address - Country:US
Practice Address - Phone:828-667-4453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility