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Organization

RV NURSING HOME, LLC

Active
Parent organization
RV NURSING HOME LLC
Other names
Rich Square Villa
Organization subpart
Yes

Provider details

NPI number
Legal business name
RV NURSING HOME LLC
Authorized official
MR. JAMES T JOHNSON JR. (OWNER)
(252) 209-6834
Entity
Organization

Contact information

Practice address
310 NORTH MAIN STREET, RICH SQUARE, NC 27869-0560
(252) 539-2011
(252) 539-2317
Mailing address
310 NORTH MAIN STREET, P O BOX 560, RICH SQUARE, NC 27869-0560
(252) 539-2011
(252) 539-2317

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-066-010
NC

Other

Enumeration date
11/30/2006
Last updated
08/10/2007
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