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Organization
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Active
Organization
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Active
Other names
Wesley Pines Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ERICKSON (ASSISTANT SECRETARY/CORP EXEC DIR)
(919) 384-3001
Entity
Organization
Contact information
Practice address
1000 WESLEY PINES RD, LUMBERTON, NC 28358
(910) 738-9692
(910) 738-8905
Mailing address
1000 WESLEY PINES RD, LUMBERTON, NC 28358-2148
(910) 738-9692
(910) 738-8905
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00881
BLUE CROSS BLUE SHIELD
NC
05
—
3405180
—
NC
05
—
3406201
—
NC
01
—
7802223
ASSITED LIVING PROVIDER
NC
Enumeration date
12/01/2005
Last updated
08/28/2018
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