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Organization
NC DEPT OF MILITARY AND VETERANS AFFAIRS NC DIVISION OF VETERANS AF
Active
Organization
NC DEPT OF MILITARY AND VETERANS AFFAIRS NC DIVISION OF VETERANS AF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C PIERCE (CHIEF DEPUTY SECRETARY)
(984) 204-8333
Entity
Organization
Contact information
Practice address
1601 BRENNER AVE BUILDING 10, SALISBURY, NC 28144-2515
(704) 638-4200
(704) 636-4576
Mailing address
4001 MAIL SERVICE CENTER, RALEIGH, NC 27699-4000
(984) 204-8333
(984) 204-8344
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405531
—
NC
01
—
NC0616
FACILITY LICENSE
NC
Enumeration date
10/24/2006
Last updated
08/22/2024
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