Organization
TAR RIVER LTC GROUP, LLC
Active
Other names
Northampton Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
200 HAMPTON WOODS COMPLEX, JACKSON, NC 27845-9503
(252) 534-0131
(252) 534-9926
Mailing address
200 HAMPTON WOODS COMPLEX, JACKSON, NC 27845-9503
(252) 534-0131
(252) 534-9926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092C
BC/BS OF NC
NC
05
—
3415313
—
NC
05
—
3425313
—
NC
Enumeration date
06/15/2006
Last updated
07/14/2021
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