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Organization
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Active
Organization
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Active
Other names
Cypress Glen 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
100 HICKORY ST, GREENVILLE, NC 27858
(252) 830-0036
(252) 830-0411
Mailing address
100 HICKORY ST, GREENVILLE, NC 27858-1637
(252) 830-0036
(252) 830-0411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0473
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009CH
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/30/2013
Last updated
07/20/2018
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