Organization
H. VANDERWAL INC.
Active
Other names
Restwell Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY RALPH VANDERWAL (ADMINISTRATOR)
(828) 287-4042
Entity
Organization
Contact information
Practice address
401 US 221 S HWY, RUTHERFORDTON, NC 28139
(828) 287-4042
(828) 287-4042
Mailing address
PO BOX 1351, RUTHERFORDTON, NC 28139-1351
(828) 287-4042
(828) 287-4042
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-801-007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801169
MEDICAID PROVIDER NUMBER
NC
Enumeration date
07/11/2007
Last updated
07/02/2008
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