Organization
LAUREL HEALTH CARE COMPANY OF CHATHAM NORTH CAROLINA, INC
Active
Other names
THE LAURELS OF CHATHAM
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
72 CHATHAM BUSINESS DR, PITTSBORO, NC 27312-5687
(919) 542-6677
(919) 542-1803
Mailing address
8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
(614) 794-8800
(614) 794-8826
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0523
NC
314000000X
Skilled Nursing Facility
Primary
NH0523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099M
BLUE CROSS BLUE SHIELD #
NC
05
—
3415421
—
NC
05
—
341601J
—
NC
01
—
NH0523
NURSING HOME LICENSE #
NC
Enumeration date
05/24/2006
Last updated
01/03/2017
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