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Organization
ALAMANCE EXTENDED CARE, INC.
Active
Organization
ALAMANCE EXTENDED CARE, INC.
Active
Other names
Edgewood Place at the Village at Brookwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHAEL BENTON (CFO)
(336) 570-8458
Entity
Organization
Contact information
Practice address
1860 BROOKWOOD AVE, BURLINGTON, NC 27215-3200
(336) 570-8456
(336) 570-8460
Mailing address
1860 BROOKWOOD AVE, BURLINGTON, NC 27215-3200
(336) 570-8456
(336) 570-8460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015735
—
NC
01
—
00826
BLUE CROSS BLUE SHIELD
NC
05
—
3415091
—
NC
05
—
3416590
—
NC
01
—
39746
PARTNERS MEDICARE CHOICE
NC
01
—
7100024
UNITED HEALTHCARE MEDICAR
NC
05
—
7805329
—
NC
Enumeration date
02/27/2007
Last updated
08/22/2020
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