Organization
WILKINSON CARE CENTER, INC.
Active
Other names
Elderberry Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ELLER (CONTROLLER)
(336) 998-5001
Entity
Organization
Contact information
Practice address
415 ELDERBERRY LN, MARSHALL, NC 28753-6369
(828) 252-1790
(828) 649-9348
Mailing address
PO BOX 1678, CLEMMONS, NC 27012-1678
(336) 998-5001
(336) 998-5470
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405319
—
NC
05
—
3406576
—
NC
05
—
3415319
—
NC
Enumeration date
03/16/2007
Last updated
11/06/2012
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