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Organization
CAROLINA CARE CENTER OF CHERRYVILLE, INC.
Active
Organization
CAROLINA CARE CENTER OF CHERRYVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY BEAM BEAM NHA (ADMINISTRATOR)
(704) 435-4161
Entity
Organization
Contact information
Practice address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161
(704) 435-8979
Mailing address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161
(704) 435-8979
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084030001
MEDICARE NSC NUMBER
NC
05
—
3405255
—
NC
Enumeration date
03/05/2007
Last updated
08/22/2020
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