Organization
REDWOOD LTC GROUP, LLC
Active
Other names
NorthChase 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
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
(910) 791-4845
Mailing address
3015 ENTERPRISE DR, WILMINGTON, NC 28405-2116
(910) 791-3451
(910) 791-4845
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0436
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083A
BC/BS OF NC
NC
05
—
3415119
—
NC
05
—
3425119
—
NC
Enumeration date
06/23/2006
Last updated
07/09/2021
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