Organization
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Active
Other names
Wesley Pines Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ERICKSON (ASSISTANT SECRETARY/CORP EXEC DIR)
(919) 384-3001
Entity
Organization
Contact information
Practice address
1000 WESLEY PINES RD, LUMBERTON, NC 28358
(910) 738-9692
(910) 738-8905
Mailing address
1000 WESLEY PINES RD, LUMBERTON, NC 28358-2148
(910) 738-9692
(910) 738-8905
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00881
BLUE CROSS BLUE SHIELD
NC
05
—
3405180
—
NC
05
—
3406201
—
NC
01
—
7802223
ASSITED LIVING PROVIDER
NC
Enumeration date
12/01/2005
Last updated
08/28/2018
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