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Organization
PINEVILLE REHABILITATION AND LIVING
Active
Organization
PINEVILLE REHABILITATION AND LIVING
Active
Other names
Pineville Rehabilitation and Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (EXECUTIVE CONTROLLER)
(224) 377-2400
Entity
Organization
Contact information
Practice address
1010 LAKEVIEW DR, PINEVILLE, NC 28134-7567
(704) 889-2273
(704) 889-2010
Mailing address
1010 LAKEVIEW DR, PINEVILLE, NC 28134-7567
(704) 889-2273
(704) 889-2010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405415
—
NC
05
—
340601G
—
NC
Enumeration date
11/07/2005
Last updated
02/26/2015
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