Organization
REHABCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CULLEN GRANT II M.ED. (SPEECH LANGUAGE PATHOLOGIST)
(919) 848-7254
Entity
Organization
Contact information
Practice address
1500 SAWMILL RD, RALEIGH, NC 27615-4320
(919) 848-7254
(919) 845-3496
Mailing address
2209 CARTHAGE CIR, RALEIGH, NC 27604-3868
(919) 255-9354
(919) 845-3496
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01116733
ASHA
—
01
—
3900
STATE LICENSE
NC
Enumeration date
05/14/2007
Last updated
08/22/2020
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