Organization
HAYMOUNT NURSING AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB GILLIAM (PRESIDENT)
(919) 467-8686
Entity
Organization
Contact information
Practice address
2346 BARRINGTON CIR, FAYETTEVILLE, NC 28303-4284
(910) 689-0150
(910) 689-0160
Mailing address
2346 BARRINGTON CIR, FAYETTEVILLE, NC 28303-4284
(910) 689-0150
(910) 689-0160
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801800
—
NC
Enumeration date
05/23/2008
Last updated
05/23/2008
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