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NPI Code Detail

MEDICARE: THE REHABILITATION AND SKILLED NURSING FACILITY AT OAK SUMMIT

MEDICARE: THE REHABILITATION AND SKILLED NURSING FACILITY AT OAK SUMMIT
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
1313M00000XNursing Facility/Intermediate Care FacilityNH0548NC
2314000000XSkilled Nursing FacilityNH0548NC

General Provider Information

NPI Number : 1518952118
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE REHABILITATION AND SKILLED NURSING FACILITY AT OAK SUMMIT
Provider Business Mailing Address
First Line : 5680 WINDY HILL DR
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27105-1425
Country : US
Telephone Number : 336-744-1188
Fax Number :
Provider Business Practice Location Address
First Line : 5680 WINDY HILL DR
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27105-1425
Country : US
Telephone Number : 336-744-1188
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : TAMMY H CHANDLER
Credential : MBA
Telephone Number : 336-776-5057
Provider Enumeration Date : 09/20/2005
Last Update Date : 06/30/2008

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Directions to “THE REHABILITATION AND SKILLED NURSING FACILITY AT OAK SUMMIT ” Practice Location

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