Organization
CAROLINA CARE CENTER OF CHERRYVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY BEAM BEAM NHA (ADMINISTRATOR)
(704) 435-4161
Entity
Organization
Contact information
Practice address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161
(704) 435-8979
Mailing address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161
(704) 435-8979
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084030001
MEDICARE NSC NUMBER
NC
05
—
3405255
—
NC
Enumeration date
03/05/2007
Last updated
08/22/2020
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