# HIGHLAND HOUSE OF FAYETTEVILLE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland House Rehabilitation & Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699886085
- **Authorized official:** EDWARD ELLER (CONTROLLER)
- **Authorized official phone:** (336) 998-5001

## Contact information

- **Practice address:** 1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
- **Practice address phone:** (910) 488-2295
- **Practice address fax:** (910) 488-0087
- **Mailing address:** 1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
- **Mailing address phone:** (910) 488-2295
- **Mailing address fax:** (910) 488-0087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0117 | NC | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405353 | — | NC |
| 05 | — | 3406055 | — | NC |
| 05 | — | 7801640 | — | NC |