Organization
KORNEGAY HEALTHCARE, INC.
Active
Other names
Glencare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN ANNE KORNEGAY (VICE PRESIDENT)
(910) 275-0058
Entity
Organization
Contact information
Practice address
214 LANEFIELD RD, WARSAW, NC 28398-8719
(910) 293-3144
(910) 293-4424
Mailing address
PO BOX 339, KENANSVILLE, NC 28349-0339
(910) 275-0058
(910) 275-0093
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NHO418
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3436396
—
NC
05
—
3455252
—
NC
05
—
3485252
—
NC
Enumeration date
12/05/2006
Last updated
06/10/2010
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