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NPI Code Detail

MEDICARE: WESSEL'S NURSING HOME OF MATTHEWS, INC.

MEDICARE: WESSEL'S NURSING HOME OF MATTHEWS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH0060NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083711626
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESSEL'S NURSING HOME OF MATTHEWS, INC.
Provider Business Mailing Address
First Line : 600 FULLWOOD RD
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-2659
Country : US
Telephone Number : 704-841-4920
Fax Number : 704-841-4700
Provider Business Practice Location Address
First Line : 600 FULLWOOD RD
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-2659
Country : US
Telephone Number : 704-841-4920
Fax Number : 704-841-4700
Authorized Official
Title or Position : PRESIDENT
Name : MS. LINDA J. HOWARD
Credential :
Telephone Number : 704-841-4920
Provider Enumeration Date : 09/17/2006
Last Update Date : 10/15/2008

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