Organization
RV NURSING HOME, LLC
Active
Organization
RV NURSING HOME, LLC
Active
Parent organization
RV NURSING HOME LLC
Other names
Rich Square Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
RV NURSING HOME LLC
Authorized official
MR. JAMES T JOHNSON JR. (OWNER)
(252) 209-6834
Entity
Organization
Contact information
Practice address
400 NORTH MAIN STREET, RICH SQUARE, NC 27869-0560
(252) 539-4145
(252) 539-2479
Mailing address
400 NORTH MAIN STREET, P O BOX 560, RICH SQUARE, NC 27869-0560
(252) 539-4145
(252) 539-2479
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-066-011
NC
Other
Enumeration date
11/30/2006
Last updated
08/10/2007
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