Organization
PREMIER LIVING AND HEALTHCARE CENTER LLC
Active
Other names
Premier Living and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOLDSMITH (AUTHORIZED OFFICIAL)
(732) 619-3822
Entity
Organization
Contact information
Practice address
106 CAMERON ST, LAKE WACCAMAW, NC 28450-1900
(910) 646-3132
Mailing address
106 CAMERON ST, LAKE WACCAMAW, NC 28450-1900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
02/03/2026
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