Organization
THE LAURELS OF SUMMIT INN, INC
Active
Other names
THE LAURELS OF SUMMIT RIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS KHAN (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
8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
(614) 794-8800
(614) 794-8826
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0540
NC
314000000X
Skilled Nursing Facility
NH0540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094X
BLUE CROSS BLUE SHIELD #
NC
05
—
3425438
—
NC
05
—
342604Y
—
NC
01
—
NH0540
NURSING HOME LICENSE #
NC
Enumeration date
05/24/2006
Last updated
06/17/2016
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