Organization
BELAIRE HEALTH CARE CENTER, INC.
Active
Other names
Belaire Health Care 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
2065 LYON ST, GASTONIA, NC 28052-6230
(704) 867-7300
(704) 867-3939
Mailing address
2917 PENN FOREST BLVD, ROANOKE, VA 24018-4374
(540) 989-3618
(540) 774-9443
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0561
NC
313M00000X
Nursing Facility/Intermediate Care Facility
NH0561
NC
314000000X
Skilled Nursing Facility
Primary
NH0561
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405457
—
NC
05
—
340607Z
—
NC
01
—
7801727
REST HOME PROVIDER NUMBER
NC
Enumeration date
10/03/2006
Last updated
05/20/2010
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