Healthcare Provider Details

I. General information

NPI: 1568463974
Provider Name (Legal Business Name): PRESBYTERIAN HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 GREENSBORO RD
HIGH POINT NC
27260-3482
US

IV. Provider business mailing address

201 GREENSBORO RD
HIGH POINT NC
27260-3482
US

V. Phone/Fax

Practice location:
  • Phone: 336-883-9111
  • Fax: 336-885-7215
Mailing address:
  • Phone: 336-883-9111
  • Fax: 336-885-7215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JULIA F HANOVER
Title or Position: CFO
Credential:
Phone: 336-886-6553