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Organization
CAROLINA ADVENTIST RETIREMENT SYSTEMS INC
Active
Organization
CAROLINA ADVENTIST RETIREMENT SYSTEMS INC
Active
Other names
W R Winslow Memorial Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L HAWKINS (CHIEF FINANCIAL OFFICER)
(828) 418-2334
Entity
Organization
Contact information
Practice address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 338-3975
(252) 338-0039
Mailing address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 338-3975
(252) 338-0039
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00933
BLUE CROSS BLUE SHIELD
NC
05
—
3415036
—
NC
Enumeration date
06/14/2005
Last updated
07/31/2013
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