Organization
LAUREL HEALTH CARE COMPANY OF NORTH CAROLINA, INC.
Active
Other names
THE LAURELS OF HENDERSONVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
290 CLEAR CREEK RD, HENDERSONVILLE, NC 28792-6148
(828) 692-6000
(828) 692-6804
Mailing address
290 CLEAR CREEK RD, HENDERSONVILLE, NC 28792-6148
(828) 692-6000
(828) 692-6804
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
NH0480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097X
BLUE CROSS BLUE SHIELD
NC
05
—
3415322
—
NC
01
—
923081
FACILITY ID #
NC
01
—
NH0480
FACILITY LICENSE #
NC
Enumeration date
09/21/2006
Last updated
10/05/2007
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