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Organization
WARREN HILLS, A PERSONAL CARE AND NURSING FACILITY
Active
Organization
WARREN HILLS, A PERSONAL CARE AND NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY M MOSS (ADMINISTRATOR)
(252) 257-2011
Entity
Organization
Contact information
Practice address
864 US HWY. 158 BUSINESS WEST, WARRENTON, NC 27589
(252) 257-2011
(252) 257-5164
Mailing address
PO BOX 618, WARRENTON, NC 27589-0618
(252) 257-2011
(252) 257-5164
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0360
NC
314000000X
Skilled Nursing Facility
Primary
NH0360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00974
BCBS PROVIDER NUMBER
NC
05
—
3405240
—
NC
05
—
3406293
—
NC
05
—
7801103
—
NC
Enumeration date
07/06/2006
Last updated
12/21/2011
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