Organization
PARAMOUNT OF CLEMMONS LLC
Active
Other names
Paramount of Clemmons Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL TURNER (VICE PRESIDENT OF FINANCE)
(502) 253-9046
Entity
Organization
Contact information
Practice address
3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
(336) 766-9158
Mailing address
3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
(336) 766-9158
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-54-088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425131
—
NC
Enumeration date
06/02/2006
Last updated
11/09/2007
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