Organization
CAMELOT MANOR NURSING CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER M GATES NHA (VP)
(828) 396-2387
Entity
Organization
Contact information
Practice address
100 SUNSET ST, GRANITE FALLS, NC 28630-1770
(828) 396-2387
(828) 396-9578
Mailing address
100 SUNSET ST, PO BOX 448, GRANITE FALLS, NC 28630
(828) 396-2387
(828) 396-9578
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405246
—
NC
05
—
3406330
—
NC
Enumeration date
06/01/2005
Last updated
07/13/2009
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