Organization
SMITHFIELD MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F ARNN SR. (ADMINISTRATOR)
(919) 934-3171
Entity
Organization
Contact information
Practice address
902 BERKSHIRE RD, SMITHFIELD, NC 27577-4731
(919) 934-3171
(919) 934-5960
Mailing address
PO BOX 1940, SMITHFIELD, NC 27577-1940
(919) 934-3171
(919) 934-5960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00939
BLUE CROSS BLUE SHIELD
NC
05
—
3415175
—
NC
Enumeration date
10/07/2005
Last updated
08/22/2020
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