# LIFEBRITE HOSPITAL GROUP OF STOKES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stokes County Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629511597
- **Authorized official:** MR. CHRISTIAN FLETCHER (CEO)
- **Authorized official phone:** (336) 593-5311

## Contact information

- **Practice address:** 1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
- **Practice address phone:** (336) 593-5311
- **Practice address fax:** (336) 593-5350
- **Mailing address:** 1570 NC 8 AND 89 HWY N, DANBURY, NC 27016-7360
- **Mailing address phone:** (336) 593-5311
- **Mailing address fax:** (336) 593-5350

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 12/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 345166 | PTAN | NC |
| 01 | — | H0165 | HOSPITAL LICENSURE | NC |