# EAST CAROLINA REHAB AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1154792000
- **Authorized official:** HUGH B CAMPBELL III (MEMBER)
- **Authorized official phone:** (910) 332-4508

## Contact information

- **Practice address:** 2575 W 5TH ST, GREENVILLE, NC 27834-7813
- **Practice address phone:** (252) 830-9100
- **Practice address fax:** (252) 757-3219
- **Mailing address:** 201 N FRONT ST, STE 805, WILMINGTON, NC 28401-4055
- **Mailing address phone:** (910) 332-4508
- **Mailing address fax:** (910) 332-4508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0505 | NC | Yes |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 06/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NH0505 | LICENSE | NC |