Organization
AMH SEGRAVES CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND DRAPER WILLIAMS II (CEO)
(336) 846-0790
Entity
Organization
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
Mailing address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
H0099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340602F
—
NC
Enumeration date
06/27/2007
Last updated
06/17/2008
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