# THE LAURELS OF PENDER, LLC

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

## Provider details

- **NPI number:** 1851836118
- **Authorized official:** ANIS KHAN (CFO)
- **Authorized official phone:** (614) 794-8800

## Contact information

- **Practice address:** 311 S CAMPBELL ST, BURGAW, NC 28425-5011
- **Practice address phone:** (910) 259-6007
- **Practice address fax:** (910) 259-6007
- **Mailing address:** 8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
- **Mailing address phone:** (614) 794-8800
- **Mailing address fax:** (614) 794-8726

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2016
- **Last updated:** 04/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1851836118 | — | NC |