# NC DEPT OF MILITARY AND VETERANS AFFAIRS NC DIVISION OF VETERANS AF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407930936
- **Authorized official:** BRIAN C PIERCE (CHIEF DEPUTY SECRETARY)
- **Authorized official phone:** (984) 204-8333

## Contact information

- **Practice address:** 1601 BRENNER AVE BUILDING 10, SALISBURY, NC 28144-2515
- **Practice address phone:** (704) 638-4200
- **Practice address fax:** (704) 636-4576
- **Mailing address:** 4001 MAIL SERVICE CENTER, RALEIGH, NC 27699-4000
- **Mailing address phone:** (984) 204-8333
- **Mailing address fax:** (984) 204-8344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0616 | NC | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405531 | — | NC |
| 01 | — | NC0616 | FACILITY LICENSE | NC |