Provider Demographics
NPI:1164211363
Name:ADVANCED LIVING INTERNATIONAL, LLC
Entity type:Organization
Organization Name:ADVANCED LIVING INTERNATIONAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-347-9977
Mailing Address - Street 1:PO BOX 718
Mailing Address - Street 2:
Mailing Address - City:MARBLE
Mailing Address - State:NC
Mailing Address - Zip Code:28905-0718
Mailing Address - Country:US
Mailing Address - Phone:828-347-9977
Mailing Address - Fax:
Practice Address - Street 1:288 SIXTH ST
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:NC
Practice Address - Zip Code:28901-9646
Practice Address - Country:US
Practice Address - Phone:828-321-9501
Practice Address - Fax:828-321-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home