Organization
STATESVILLE HMA INC
Active
Other names
Davis Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-7102
Mailing address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-7102
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425440
—
NC
Enumeration date
06/14/2006
Last updated
02/17/2009
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