Organization
THE LAURELS OF SUMMITT INN, INC.
Active
Other names
THE LAURELS OF SUMMIT RIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
100 RICEVILLE RD, ASHEVILLE, NC 28805-2122
(828) 299-1110
(828) 299-4077
Mailing address
100 RICEVILLE RD, ASHEVILLE, NC 28805-2122
(828) 299-1110
(828) 299-4077
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
NH0540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094X
BC/BS #
NC
05
—
3425438
—
NC
01
—
7100176
UNITED HEALTH CARE ID #
NC
01
—
923379
FACILITY ID #
NC
01
—
NH0540
NH LICENSE #
NC
Enumeration date
10/06/2006
Last updated
02/06/2009
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