Organization
CITADEL ELIZABETH CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (VP OF ADMINISTRATIVE SERVICECS)
(252) 338-0137
Entity
Organization
Contact information
Practice address
901 HALSTEAD BLVD, ELIZABETH CITY, NC 27909-6920
(252) 338-0137
Mailing address
901 HALSTEAD BLVD, ELIZABETH CITY, NC 27909-6920
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/10/2019
Last updated
06/27/2019
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