Organization
PLEASANT LIVING HEALTHCARE, INC
Active
Other names
Quail Haven Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D MAXWELL (SECRETARY/TREASURER)
(901) 524-4100
Entity
Organization
Contact information
Practice address
155 BLAKE BLVD, PINEHURST, NC 28374-8402
(910) 295-2294
(910) 295-2379
Mailing address
155 BLAKE BLVD, PINEHURST, NC 28374-8402
(910) 295-2294
(910) 295-2379
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009CK
BLUE CROSS BLUE SHIELD
NC
05
—
3405518
—
NC
05
—
340613X
—
NC
Enumeration date
11/11/2005
Last updated
12/18/2012
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