# GREENVILLE OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenville Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467203612
- **Authorized official:** CRAIG NEISWANGER (AUTHORIZED AGENT)
- **Authorized official phone:** (252) 758-7100

## Contact information

- **Practice address:** 2578 W 5TH ST, GREENVILLE, NC 27834-7812
- **Practice address phone:** (252) 758-7100
- **Mailing address:** 2578 W 5TH ST, GREENVILLE, NC 27834-7812
- **Mailing address phone:** (252) 758-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 07/10/2024