Healthcare Provider Details

I. General information

NPI: 1124143581
Provider Name (Legal Business Name): FLESHERS FAIRVIEW HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3016 CANE CREEK RD
FAIRVIEW NC
28730-8743
US

IV. Provider business mailing address

PO BOX 1160
FAIRVIEW NC
28730-1160
US

V. Phone/Fax

Practice location:
  • Phone: 828-628-2800
  • Fax: 828-628-0209
Mailing address:
  • Phone: 828-628-2800
  • Fax: 828-628-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH0517
License Number StateNC

VIII. Authorized Official

Name: CHERI TALBOT MITCHELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 828-628-2800