# AMBASSADOR REHABILITATION AND HEALTHCARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLIVE LEAF, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932411956
- **Legal business name:** OLIVE LEAF, LLC
- **Authorized official:** MICHELLE D MEER (VICE PRESIDENT & SECRETARY)
- **Authorized official phone:** (629) 626-0000

## Contact information

- **Practice address:** 2051 COUNTRY CLUB RD, WADESBORO, NC 28170-3203
- **Practice address phone:** (704) 694-4106
- **Practice address fax:** (704) 694-6271
- **Mailing address:** 2051 COUNTRY CLUB RD, WADESBORO, NC 28170-3203
- **Mailing address phone:** (704) 694-4106
- **Mailing address fax:** (704) 694-6271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | NH0090 | NC | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 12/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3435392 | — | NC |