Organization
THE PINES AT DAVIDSON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE L. MULLER (EXECUTIVE DIRECTOR)
(704) 896-1100
Entity
Organization
Contact information
Practice address
400 AVINGER LN, DAVIDSON, NC 28036-8800
(704) 896-1100
(704) 896-1119
Mailing address
400 AVINGER LN, DAVIDSON, NC 28036-8800
(704) 896-1100
(704) 896-1119
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0443
NC
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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