Organization
JACTOM INC
Active
Other names
Bethesda Health Care Facility, Bethesda Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE B HORNE (ADMINISTRATOR)
(910) 323-3223
Entity
Organization
Contact information
Practice address
3532 DUNN ROAD, FAYETTEVILLE, NC 28312
(910) 323-3223
(910) 323-0177
Mailing address
3532 DUNN ROAD, FAYETTEVILLE, NC 28312-8894
(910) 323-3223
(910) 323-0177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00956
BCBS
NC
05
—
3405212
—
NC
Enumeration date
07/19/2006
Last updated
06/30/2023
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