Organization
NUBBING HILL HEALTHCARE, INC.
Active
Other names
Countryside Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. WEEKS (OWNER/ADMINISTRATOR)
(910) 980-1275
Entity
Organization
Contact information
Practice address
8100 DUNN ROAD, WADE, NC 28395
(910) 980-1275
(910) 980-1118
Mailing address
PO BOX 309, WADE, NC 28395-0309
(910) 980-1275
(910) 980-1118
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-026-046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804901
—
NC
Enumeration date
09/21/2006
Last updated
08/22/2020
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