OrganizationActive
Carillon Assisted Living of Wake Forest LLC
NPI 1639585649 · Custodial Care Facility · Wake Forest, NC
Provider details
- NPI number
- 1639585649
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Carillon Assisted Living, LLC
- Organization subpart
- Yes
- Authorized official
- Karen Moriarty, President and Ceo(919) 852-4000
- License
- HAL-092-193 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3218 Heritage Trade Dr
Wake Forest, NC 27587-4238
Phone: (919) 569-2101
Fax: (919) 569-2102
Approximate (ZIP-level) locationGet directions
Mailing address
3218 Heritage Trade Dr
Wake Forest, NC 27587-4238
Registry dates
- Enumerated
- 2014-07-10
- Last updated
- 2014-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.