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NPI Code Detail

MEDICARE: FLESHERS FAIRVIEW REST HOME INC

MEDICARE: FLESHERS FAIRVIEW REST HOME 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
1313M00000XNursing Facility/Intermediate Care FacilityNH0517NC

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 : 1215052683
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLESHERS FAIRVIEW REST HOME INC
Provider Business Mailing Address
First Line : 3016 CANE CREEK RD
Second Line :
City : FAIRVIEW
State : NC
Zip : 28730-8743
Country : US
Telephone Number : 828-628-1018
Fax Number : 828-628-0209
Provider Business Practice Location Address
First Line : 3016 CANE CREEK RD
Second Line :
City : FAIRVIEW
State : NC
Zip : 28730-8743
Country : US
Telephone Number : 828-628-1018
Fax Number : 828-628-0209
Authorized Official
Title or Position : ADMINISTRATOR
Name : KATHY MERRILL
Credential :
Telephone Number : 828-628-1018
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

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Directions to “FLESHERS FAIRVIEW REST HOME INC ” Practice Location

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