# BIRDMONT HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARRINGTON PLACE @ WYTHEVILLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598796674
- **Authorized official:** MRS. MARYA J MORRISON (CFO)
- **Authorized official phone:** (727) 723-3000

## Contact information

- **Practice address:** 990 HOLSTON RD, WYTHEVILLE, VA 24382-4105
- **Practice address phone:** (276) 228-5595
- **Practice address fax:** (276) 228-7343
- **Mailing address:** 990 HOLSTON RD, WYTHEVILLE, VA 24382-4105
- **Mailing address phone:** (276) 228-5595
- **Mailing address fax:** (276) 228-7343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH2481 | VA | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/22/2020
