Provider Demographics
NPI:1144775545
Name:THE VILLAS @ BENSON II, INC
Entity Type:Organization
Organization Name:THE VILLAS @ BENSON II, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:I
Authorized Official - Last Name:OGBONNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-876-4949
Mailing Address - Street 1:606 E MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1445
Mailing Address - Country:US
Mailing Address - Phone:919-876-4949
Mailing Address - Fax:
Practice Address - Street 1:606 E MORRIS AVE
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1445
Practice Address - Country:US
Practice Address - Phone:919-876-4949
Practice Address - Fax:919-876-4946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility