Organization
LONGLEAF NEURO-MEDICAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN BURKES (DIVISION DIRECTOR)
(919) 855-4700
Entity
Organization
Contact information
Practice address
4761 WARD BLVD, WILSON, NC 27893
(252) 399-2112
(252) 399-2138
Mailing address
4761 WARD BLVD, WILSON, NC 27893-4359
(252) 399-2112
(252) 399-2138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405192
—
NC
Enumeration date
01/11/2007
Last updated
10/17/2024
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