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General NPI Number Information
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NPI Number | 1659319366
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Entity Type | Organization
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Legal Business Name | WALNUT COVE HEALTHCARE LLC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 511 WINDMILL ST
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City | WALNUT COVE
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State | NC
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Zip | 27052-7706
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Country | US
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Telephone | 336-591-4353
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Fax | 336-591-7659
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | WALNUT COVE
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State | NC
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Zip | 27052-0158
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Country | US
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Telephone | 336-591-4353
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Fax | 336-591-7659
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Authorized Official
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Title or Position | MANAGER
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Name | TIM LEHNER
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Credential |
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Telephone | 770-698-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH0316
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License Number State | NC
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