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Organization
SSC ASHEBORO OPERATING COMPANY LLC
Active
Organization
SSC ASHEBORO OPERATING COMPANY LLC
Active
Other names
Randolph Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
230 E PRESNELL ST, ASHEBORO, NC 27203-4743
(336) 629-1447
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0335
NC
314000000X
Skilled Nursing Facility
Primary
NH0335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3426270
—
NC
05
—
3435155
—
NC
Enumeration date
03/31/2007
Last updated
04/10/2015
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