# WATERMARK ALBEMARLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Fountains at The Albemarle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710932355
- **Authorized official:** GRETA FRUHLING FRAZIER (DIRECTOR)
- **Authorized official phone:** (520) 797-4000

## Contact information

- **Practice address:** 200 TRADE ST, TARBORO, NC 27886-5055
- **Practice address phone:** (252) 823-2799
- **Practice address fax:** (252) 823-6555
- **Mailing address:** 2020 W RUDASILL RD, ATTN: MEDICARE BILLING, TUCSON, AZ 85704-7800
- **Mailing address phone:** (520) 797-4000
- **Mailing address fax:** (520) 797-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0352 | NC | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 07/13/2015