Organization
SSC WINDSOR BRIAN OPERATING COMPANY LLC
Active
Other names
Brian Center Health & Rehabilitation - Windsor
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
1306 S KING ST, WINDSOR, NC 27983-9663
(252) 794-5146
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
NH0491
NC
313M00000X
Nursing Facility/Intermediate Care Facility
NH0491
NC
314000000X
Skilled Nursing Facility
Primary
NH0491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418016
—
NC
05
—
3425339
—
NC
05
—
3426166
—
NC
05
—
7805263
—
NC
Enumeration date
03/31/2007
Last updated
11/17/2020
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