# RICH SQUARE OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rich Square Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730052333
- **Authorized official:** REID A CRICKMORE (VICE PRESIDENT)
- **Authorized official phone:** (760) 330-0390

## Contact information

- **Practice address:** 300 N MAIN ST, RICH SQUARE, NC 27869-9577
- **Practice address phone:** (252) 539-4161
- **Mailing address:** 300 N MAIN ST, RICH SQUARE, NC 27869-9577
- **Mailing address phone:** (252) 539-4161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 10/03/2025