Organization
REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN GENTZLER (CFO)
(910) 483-7666
Entity
Organization
Contact information
Practice address
1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
(910) 486-5000
(910) 486-5266
Mailing address
1601 PURDUE DR, FAYETTEVILLE, NC 28304-3674
(910) 486-5000
(910) 486-5266
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0502
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405380
—
NC
05
—
3406071
—
NC
Enumeration date
09/27/2005
Last updated
04/01/2015
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