# PELICAN HEALTH HENDERSON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camellia Gardens Center for Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902462401
- **Authorized official:** BATYA GORELICK (VP OF ADMINISTRATIVE SERVICES)
- **Authorized official phone:** (252) 438-6141

## Contact information

- **Practice address:** 280 S BECKFORD DR, HENDERSON, NC 27536-2564
- **Practice address phone:** (252) 438-6141
- **Mailing address:** 980 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632-3315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2019
- **Last updated:** 06/15/2023