Organization
TARBORO CARE LLC
Active
Other names
Prodigy Transitional Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VERNON (EXECUTIVE DIRECTOR)
(252) 823-2041
Entity
Organization
Contact information
Practice address
911 WESTERN BLVD, TARBORO, NC 27886
(252) 823-2041
(252) 641-1741
Mailing address
PO BOX 400, 911 WESTERN BLVD, TARBORO, NC 27886
(252) 823-2041
(252) 641-1741
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
—
314000000X
Skilled Nursing Facility
Primary
NH0327
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405510
—
NC
01
—
340613N
ICF
NC
Enumeration date
11/02/2006
Last updated
07/14/2021
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