# HILLSIDE NURSING CENTER OF WAKE FOREST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hillside Nursing and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811984925
- **Authorized official:** MRS. ROBERT EVANS (VP)
- **Authorized official phone:** (919) 556-4082

## Contact information

- **Practice address:** 968 WAIT AVE, WAKE FOREST, NC 27587-7670
- **Practice address phone:** (919) 556-4082
- **Practice address fax:** (919) 554-4650
- **Mailing address:** 968 WAIT AVE, WAKE FOREST, NC 27587-7670
- **Mailing address phone:** (919) 556-4082
- **Mailing address fax:** (919) 554-4650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0525 | NC | Yes |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 03/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405417 | — | NC |
| 05 | — | 340601H | — | NC |
| 05 | — | 7802250 | — | NC |