# REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659367480
- **Authorized official:** MR. STEPHEN GENTZLER (CFO)
- **Authorized official phone:** (910) 483-7666

## Contact information

- **Practice address:** 1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
- **Practice address phone:** (910) 486-5000
- **Practice address fax:** (910) 486-5266
- **Mailing address:** 1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
- **Mailing address phone:** (910) 486-5000
- **Mailing address fax:** (910) 486-5266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0502 | NC | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 04/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405380 | — | NC |
| 05 | — | 3406071 | — | NC |