Organization
THE LAURELS OF PENDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIS KHAN (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
311 S CAMPBELL ST, BURGAW, NC 28425-5011
(910) 259-6007
(910) 259-6007
Mailing address
8181 WORTHINGTON RD, WESTERVILLE, OH 43082-8067
(614) 794-8800
(614) 794-8726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851836118
—
NC
Enumeration date
12/22/2016
Last updated
04/21/2017
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