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Organization
TAR RIVER LTC GROUP, LLC
Active
Organization
TAR RIVER LTC GROUP, LLC
Active
Other names
Northampton Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
200 HAMPTON WOODS COMPLEX, JACKSON, NC 27845-9503
(252) 534-0131
(252) 534-9926
Mailing address
200 HAMPTON WOODS COMPLEX, JACKSON, NC 27845-9503
(252) 534-0131
(252) 534-9926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092C
BC/BS OF NC
NC
05
—
3415313
—
NC
05
—
3425313
—
NC
Enumeration date
06/15/2006
Last updated
07/14/2021
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