Organization
EVEREST LONG TERM CARE, LLC
Active
Other names
Tower Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8113
(919) 231-8144
Mailing address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8113
(919) 231-8144
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00975
BC/BS OF NC
NC
05
—
3405513
—
NC
05
—
3415513
—
NC
Enumeration date
06/21/2006
Last updated
07/14/2021
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