Organization
NC DEPT OF MILITARY AND VETERANS AFFAIRS NC DIVISION OF VETERANS AF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C PIERCE (CHIEF DEPUTY SECRETARY)
(984) 204-8333
Entity
Organization
Contact information
Practice address
1601 BRENNER AVE BUILDING 10, SALISBURY, NC 28144-2515
(704) 638-4200
(704) 636-4576
Mailing address
4001 MAIL SERVICE CENTER, RALEIGH, NC 27699-4000
(984) 204-8333
(984) 204-8344
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405531
—
NC
01
—
NC0616
FACILITY LICENSE
NC
Enumeration date
10/24/2006
Last updated
08/22/2024
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