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Organization
THI OF NORTH CAROLINA AT DURHAM, LLC
Active
Organization
THI OF NORTH CAROLINA AT DURHAM, LLC
Active
Other names
Erwin Garden Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KELLY (PRESIDENT)
(919) 383-1546
Entity
Organization
Contact information
Practice address
3100 ERWIN RD, DURHAM, NC 27705-4505
(919) 383-1546
(919) 382-0156
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3465061
—
NC
Enumeration date
10/07/2006
Last updated
10/24/2007
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