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Organization
CAROLINA HEALTH CARE CENTER OF BURKE LIMITED PARTNERSHIP
Active
Organization
CAROLINA HEALTH CARE CENTER OF BURKE LIMITED PARTNERSHIP
Active
Other names
Carolina Rehab Center of Burke
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE NOVEL MARTIN III (CFO, MFA INC. GENERAL PARTNER)
(540) 776-7526
Entity
Organization
Contact information
Practice address
3647 MILLER BRIDGE RD, CONNELLYS SPRINGS, NC 28612-7347
(828) 397-3144
(828) 397-2349
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
(540) 989-3618
(540) 744-9443
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0610
NC
314000000X
Skilled Nursing Facility
Primary
NH0610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405526
—
NC
05
—
340614H
—
NC
Enumeration date
10/03/2006
Last updated
05/20/2010
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