Organization
MECKLENBURG HEALTH CARE CENTER, INC.
Active
Other names
Mecklenburg Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE NOVEL MARTIN III (CFO, MFA INC. GENERAL PARTNER)
(540) 776-7526
Entity
Organization
Contact information
Practice address
2415 SANDY PORTER RD, CHARLOTTE, NC 28273-3695
(704) 583-0430
(704) 583-0433
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
(540) 989-3618
(540) 774-9443
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH0570
NC
314000000X
Skilled Nursing Facility
Primary
NH0570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405471
—
NC
05
—
340610E
—
NC
Enumeration date
10/03/2006
Last updated
10/23/2013
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