Organization
PINEVILLE REHABILITATION AND LIVING
Active
Other names
Pineville Rehabilitation and Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (EXECUTIVE CONTROLLER)
(224) 377-2400
Entity
Organization
Contact information
Practice address
1010 LAKEVIEW DR, PINEVILLE, NC 28134-7567
(704) 889-2273
(704) 889-2010
Mailing address
1010 LAKEVIEW DR, PINEVILLE, NC 28134-7567
(704) 889-2273
(704) 889-2010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405415
—
NC
05
—
340601G
—
NC
Enumeration date
11/07/2005
Last updated
02/26/2015
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