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Organization
BROOKWOOD-MADISON COUNTY CONVALESCENT CENTER LLP
Active
Organization
BROOKWOOD-MADISON COUNTY CONVALESCENT CENTER LLP
Active
Other names
Madison Manor Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA A GIEZENTANNER (NURSING HOME ADMINISTRATOR)
(828) 689-5200
Entity
Organization
Contact information
Practice address
345 MANOR RD, MARS HILL, NC 28754-7606
(828) 689-5200
(828) 689-2729
Mailing address
345 MANOR RD, MARS HILL, NC 28754-7606
(828) 689-5200
(828) 689-2729
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0387870001
DMERC
NC
05
—
3405206
—
NC
05
—
3406224
—
NC
01
—
NH0290
DFS LICENSE
NC
Enumeration date
08/01/2006
Last updated
11/21/2007
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