Organization
LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF HIGHLAND
Active
Other names
Highland House Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WILSON (CHIEF OPERATING OFFICER)
(910) 815-3122
Entity
Organization
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
(910) 488-0087
Mailing address
44 MCNEILL PLZ, WHITEVILLE, NC 28472-8602
(910) 642-0224
(910) 642-8537
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345353
MEDICARE OSCAR/CERTIFICATION
NC
Enumeration date
09/27/2022
Last updated
10/19/2022
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