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NPI Code Detail

MEDICARE: REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN

MEDICARE: REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN
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
1314000000XSkilled Nursing FacilityNH0502NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659367480
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN
Provider Business Mailing Address
First Line : 1601 PURDUE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3674
Country : US
Telephone Number : 910-486-5000
Fax Number : 910-486-5266
Provider Business Practice Location Address
First Line : 1601 PURDUE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3674
Country : US
Telephone Number : 910-486-5000
Fax Number : 910-486-5266
Authorized Official
Title or Position : CFO
Name : MR. STEPHEN GENTZLER
Credential :
Telephone Number : 910-483-7666
Provider Enumeration Date : 09/27/2005
Last Update Date : 04/01/2015

Similar Medicare Providers

1780880922 — AMBER LYNN AMEREDES MOTRL
Practice Location Address:
1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674
Practice Phone: 910-488-1093
Practice Fax:
1730385980 — MR. HUGO TINOCO COTAL
Practice Location Address:
1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674
Practice Phone: 910-486-5000
Practice Fax:
1831395953 — MR. JONAS ROJAS TAN LPT
Practice Location Address:
1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674
Practice Phone: 910-486-5000
Practice Fax:
1942406194 — PAULA FAYE JARVIES PTA
Practice Location Address:
1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674
Practice Phone: 910-486-5000
Practice Fax: 910-672-0061
1508062753 — MRS. M. ELAINE COLLINS PTA
Practice Location Address:
1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674
Practice Phone: 910-672-0061
Practice Fax:
1639364433 — JENNIFER SUE DONOUGHE MS CCC SLP
Practice Location Address:
1601 PURDUE DR
FAYETTEVILLE, NC
28304-3674
Practice Phone: 910-672-0061
Practice Fax: 910-672-0061

Directions to “REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN ” Practice Location

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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.

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