Organization
ROXBORO NURSING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
901 RIDGE RD, ROXBORO, NC 27573-4511
(336) 599-0106
(336) 597-5788
Mailing address
901 RIDGE RD, ROXBORO, NC 27573-4511
(336) 599-0106
(336) 597-5788
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091C
BCBS
NC
05
—
3405311
—
NC
05
—
3406199
—
NC
Enumeration date
03/01/2006
Last updated
09/24/2007
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