Organization
AMBASSADOR REHABILITATION AND HEALTHCARE CENTER, LLC
Active
Parent organization
OLIVE LEAF, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVE LEAF, LLC
Authorized official
MICHELLE D MEER (VICE PRESIDENT & SECRETARY)
(629) 626-0000
Entity
Organization
Contact information
Practice address
2051 COUNTRY CLUB RD, WADESBORO, NC 28170-3203
(704) 694-4106
(704) 694-6271
Mailing address
2051 COUNTRY CLUB RD, WADESBORO, NC 28170-3203
(704) 694-4106
(704) 694-6271
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
NH0090
NC
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435392
—
NC
Enumeration date
07/07/2010
Last updated
12/29/2017
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