LR
LEAKSVILLE REST HOME, LLC
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
EDEN, NC
Licensed since
2014
Rate
—
Federal identifiers
NPI registry number1285054593
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NamePAMELA CLARK
TitleSOLE MEMBER MANAGER/ADMINISTRATOR
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