Organization
THI OF NORTH CAROLINA AT DURHAM, LLC
Active
Other names
Erwin Garden Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KELLY (PRESIDENT)
(919) 383-1546
Entity
Organization
Contact information
Practice address
3100 ERWIN RD, DURHAM, NC 27705-4505
(919) 383-1546
(919) 382-0156
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3465061
—
NC
Enumeration date
10/07/2006
Last updated
10/24/2007
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