# WELL TREVI ALBEMARLE SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831850809
- **Authorized official:** MARY ELLEN PISANELLI (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (419) 247-2800

## Contact information

- **Practice address:** 200 TRADE ST, TARBORO, NC 27886-5055
- **Practice address phone:** (252) 823-2799
- **Mailing address:** 4500 DORR ST, TOLEDO, OH 43615-4040

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2022
- **Last updated:** 01/19/2023