Provider Demographics
NPI:1457477549
Name:UNITY ASSISTED LIVING #3
Entity Type:Organization
Organization Name:UNITY ASSISTED LIVING #3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:252-268-2906
Mailing Address - Street 1:PO BOX 889
Mailing Address - Street 2:306 EAST LENOIR AVE
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28502-0889
Mailing Address - Country:US
Mailing Address - Phone:252-520-0072
Mailing Address - Fax:252-520-0074
Practice Address - Street 1:300 E LENOIR AVE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4425
Practice Address - Country:US
Practice Address - Phone:252-520-0072
Practice Address - Fax:252-520-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-054-003310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility