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NPI Code Detail

MEDICARE: LIFECARE HOSPITALS OF NORTH CAROLINA LLC

MEDICARE: LIFECARE HOSPITALS OF NORTH CAROLINA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care HospitalHO242NC

General Provider Information

NPI Number : 1194759183
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE HOSPITALS OF NORTH CAROLINA LLC
Provider Business Mailing Address
First Line : 5560 TENNYSON PKWY
Second Line :
City : PLANO
State : TX
Zip : 75024-3532
Country : US
Telephone Number : 469-241-2100
Fax Number : 469-241-5198
Provider Business Practice Location Address
First Line : 1031 NOELL LN
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-1761
Country : US
Telephone Number : 252-451-2300
Fax Number : 252-451-2301
Authorized Official
Title or Position : VICE PRESIDENT OF REIMBURSEMENT
Name : MR. MICHAEL CRONIN
Credential : CPA
Telephone Number : 469-241-2128
Provider Enumeration Date : 07/10/2006
Last Update Date : 01/09/2008

Similar Medicare Providers

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Directions to “LIFECARE HOSPITALS OF NORTH CAROLINA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.