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Organization
SENIOR CARE GROUP OF YANCEY LLC
Active
Organization
SENIOR CARE GROUP OF YANCEY LLC
Active
Other names
Brockside Rehabilitation and Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL VAUGHAN (PRESIDENT)
(813) 341-2700
Entity
Organization
Contact information
Practice address
310 PENSACOLA RD, BURNSVILLE, NC 28714-3318
(828) 682-9759
(828) 682-4096
Mailing address
1240 MARBELLA PLAZA DR, TAMPA, FL 33619-7906
(813) 341-2700
(813) 676-0126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415305
—
NC
Enumeration date
12/01/2005
Last updated
12/23/2009
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