Organization
THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED
Active
Other names
Cypress Glen Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ERICKSON (ASSISTANT SECRETARY/CORP EXEC DIR)
(919) 384-3001
Entity
Organization
Contact information
Practice address
100 HICKORY ST, GREENVILLE, NC 27858
(252) 830-0036
(252) 830-0411
Mailing address
100 HICKORY ST, GREENVILLE, NC 27858-1637
(252) 830-0036
(252) 830-0411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0473
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009CH
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/30/2013
Last updated
07/20/2018
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