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Organization
PINEHURST NURSING CENTER, INC.
Active
Organization
PINEHURST NURSING CENTER, INC.
Active
Other names
Pinehurst Healthcare and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
(910) 295-6783
Mailing address
PO BOX 5309, PINEHURST, NC 28374-5309
(910) 295-6158
(910) 295-6783
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091R
BCBS PROVIDER NO
NC
05
—
3405370
—
NC
05
—
3406228
—
NC
Enumeration date
02/28/2006
Last updated
09/04/2007
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