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Organization

VALDESE NURSING HOME INC

Active
Other names
Colleg Pines Health & Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT FRITTS (SENIOR VICE PRESIDENT CFO)
(828) 580-5545
Entity
Organization

Contact information

Practice address
95 LOCUST ST, CONNELLY SPRINGS, NC 28612-8007
(828) 580-6800
(828) 580-6803
Mailing address
PO BOX 250, VALDESE, NC 28690-0250
(828) 580-6800
(828) 580-6803

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0553
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090P
BCBS NC PROVIDER
NC
05
3405446
NC
05
340606A
NC
01
923110
FACILITY ID NUMBER
NC
Enumeration date
10/11/2005
Last updated
10/13/2011
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