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Organization
SSC WILMINGTON OPERATING COMPANY LLC
Active
Organization
SSC WILMINGTON OPERATING COMPANY LLC
Active
Other names
Wilmington Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
820 WELLINGTON AVE, WILMINGTON, NC 28401-7618
(910) 343-0425
(910) 762-1791
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0392
NC
314000000X
Skilled Nursing Facility
NH0392
NC
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416358
—
NC
05
—
3425236
—
NC
Enumeration date
04/02/2007
Last updated
04/10/2015
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