Organization
SSC CLAYTON OPERATING COMPANY LLC
Active
Other names
Brian Center Health & Retirement - Clayton
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P. SIMONS (SENIOR VP OPERATIONS FINANCE)
(770) 829-5100
Entity
Organization
Contact information
Practice address
204 DAIRY RD, CLAYTON, NC 27520-7216
(919) 553-8232
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
NH0475
NC
313M00000X
Nursing Facility/Intermediate Care Facility
NH0475
NC
314000000X
Skilled Nursing Facility
Primary
NH0475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425317
—
NC
05
—
3426550
—
NC
05
—
7805269
—
NC
Enumeration date
04/01/2007
Last updated
11/11/2020
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