Organization
CAROMONT HEALTH SERVICES INC.
Active
Other names
Courtland Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE F. SHOVELIN (PRESIDENT/CEO)
(704) 834-2121
Entity
Organization
Contact information
Practice address
2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
(704) 834-4800
(704) 834-4812
Mailing address
2300 ABERDEEN BLVD, GASTONIA, NC 28054-0613
(704) 834-4800
(704) 834-4812
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0494
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405350
—
NC
05
—
3406314
—
NC
05
—
7802312
—
NC
Enumeration date
12/16/2005
Last updated
09/11/2008
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