# RALEIGH REGIONAL REHAB CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083963227
- **Authorized official:** TRINA J FISK (CFO)
- **Authorized official phone:** (727) 797-5200

## Contact information

- **Practice address:** 3830 BLUE RIDGE RD, RALEIGH, NC 27612-4319
- **Practice address phone:** (919) 781-4900
- **Mailing address:** 310 10TH AVE N, SAFETY HARBOR, FL 34695-3416
- **Mailing address phone:** (727) 797-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0428 | FL | Yes |

## Other

- **Enumeration date:** 09/04/2012
- **Last updated:** 09/04/2012