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Organization
THE LAURELS OF GREENTREE RIDGE, INC
Active
Organization
THE LAURELS OF GREENTREE RIDGE, INC
Active
Other names
THE LAURELS OF GREENTREE RIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
70 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
(828) 274-7646
(828) 277-4752
Mailing address
8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
(614) 794-8800
(614) 794-8826
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0463
NC
314000000X
Skilled Nursing Facility
Primary
NH0463
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097Y
BLUE CROSS BLUE SHIELD #
NC
05
—
3415303
—
NC
05
—
3416488
—
NC
01
—
NH0463
NURSING HOME LICENSE #
NC
Enumeration date
05/24/2006
Last updated
01/03/2017
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