Organization
HAYMOUNT REHABILITATION AND NURSING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E GILLIAM (PRESIDENT)
(919) 467-8686
Entity
Organization
Contact information
Practice address
2346 BARRINGTON CIR, FAYETTEVILLE, NC 28303-4284
(910) 689-0150
Mailing address
2346 BARRINGTON CIR, FAYETTEVILLE, NC 28303-4284
(910) 689-0150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089H
BLUE CROSS BLUE SHIELD
—
05
—
3415414
—
NC
05
—
341601F
—
NC
Enumeration date
12/05/2005
Last updated
07/08/2008
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