# NC DEPT OF MILITARY AND VETERANS AFFAIRS NC DIVISION OF VETERANS AFFAI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871508408
- **Authorized official:** TERRY EDWARD WESTBROOK (DIRECTOR OF VETERANS SERVICES)
- **Authorized official phone:** (984) 204-2982

## Contact information

- **Practice address:** 214 COCHRAN AVE, FAYETTEVILLE, NC 28301-3875
- **Practice address phone:** (910) 482-4131
- **Mailing address:** 4001 MAIL SERVICE CTR, RALEIGH, NC 27699-4001
- **Mailing address phone:** (984) 204-2990
- **Mailing address fax:** (984) 204-8344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0585 | NC | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 06/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0086A | BCBS | NC |
| 05 | — | 3405492 | — | NC |