Healthcare Provider Details

I. General information

NPI: 1639742919
Provider Name (Legal Business Name): ANSON HEALTH AND REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 07/23/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 S GREEN ST
WADESBORO NC
28170-2719
US

IV. Provider business mailing address

229 AIRPORT RD., SUITE 7, UNIT 104
ARDEN NC
28704
US

V. Phone/Fax

Practice location:
  • Phone: 704-695-3301
  • Fax:
Mailing address:
  • Phone: 919-608-9123
  • Fax: 919-882-9771

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: MR. CHRISTOPHER JOHN SPRENGER
Title or Position: MANAGER
Credential:
Phone: 919-608-9123