Organization
PINEHURST NURSING CENTER, INC.
Active
Other names
Pinehurst Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK W ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
300 BLAKE BLVD, PINEHURST, NC 28374-8474
(910) 295-6158
(910) 295-6783
Mailing address
PO BOX 5309, PINEHURST, NC 28374-5309
(910) 295-6158
(910) 295-6783
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
NH0294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801191
—
NC
Enumeration date
09/24/2007
Last updated
09/24/2007
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