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General NPI Number Information
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NPI Number | 1740386473
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Entity Type | Organization
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Legal Business Name | SHAIRE NURSING CENTER
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1450 SHAIRE CENTER DR
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City | LENOIR
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State | NC
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Zip | 28645-7565
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Country | US
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Telephone | 828-728-6500
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Fax | 828-728-0878
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Provider Business Mailing Address
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Address Line | PO BOX 668
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City | HUDSON
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State | NC
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Zip | 28638-0668
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Country | US
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Telephone | 828-728-6500
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Fax | 828-728-0878
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHEAL JASON HAIRE
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Credential |
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Telephone | 828-728-6500
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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 | NH0578
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License Number State | NC
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