Organization
THE LAURELS OF GREENTREE RIDGE, INC
Active
Other names
THE LAURELS OF GREENTREE RIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
70 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
(828) 274-7646
(828) 277-4752
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
NH0463
NC
314000000X
Skilled Nursing Facility
Primary
NH0463
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097Y
BLUE CROSS BLUE SHIELD #
NC
05
—
3415303
—
NC
05
—
3416488
—
NC
01
—
NH0463
NURSING HOME LICENSE #
NC
Enumeration date
05/24/2006
Last updated
01/03/2017
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