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Organization

SSC ASHEBORO OPERATING COMPANY LLC

Active
Other names
Randolph Health and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization

Contact information

Practice address
230 E PRESNELL ST, ASHEBORO, NC 27203-4743
(336) 629-1447
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0335
NC
314000000X
Skilled Nursing Facility
Primary
NH0335
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3426270
NC
05
3435155
NC
Enumeration date
03/31/2007
Last updated
04/10/2015
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