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Organization
WILKINSON CARE CENTER, INC.
Active
Organization
WILKINSON CARE CENTER, INC.
Active
Other names
Elderberry Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ELLER (CONTROLLER)
(336) 998-5001
Entity
Organization
Contact information
Practice address
415 ELDERBERRY LN, MARSHALL, NC 28753-6369
(828) 252-1790
(828) 649-9348
Mailing address
PO BOX 1678, CLEMMONS, NC 27012-1678
(336) 998-5001
(336) 998-5470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405319
—
NC
05
—
3406576
—
NC
05
—
3415319
—
NC
Enumeration date
03/16/2007
Last updated
11/06/2012
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