Provider Demographics
NPI:1447372164
Name:EULA K ARTHUR
Entity type:Organization
Organization Name:EULA K ARTHUR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EULA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-623-2200
Mailing Address - Street 1:915 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5509
Mailing Address - Country:US
Mailing Address - Phone:336-623-2200
Mailing Address - Fax:336-623-4200
Practice Address - Street 1:915 IRVING AVE
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5509
Practice Address - Country:US
Practice Address - Phone:336-623-2200
Practice Address - Fax:336-623-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2011-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility