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NPI Code Detail

MEDICARE: PRESBYTERIAN HOMES INC

MEDICARE: PRESBYTERIAN HOMES 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 Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100905OTHERNCBCBSNC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568463974
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN HOMES INC
Provider Business Mailing Address
First Line : 201 GREENSBORO RD
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-3482
Country : US
Telephone Number : 336-883-9111
Fax Number : 336-885-7215
Provider Business Practice Location Address
First Line : 201 GREENSBORO RD
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-3482
Country : US
Telephone Number : 336-883-9111
Fax Number : 336-885-7215
Authorized Official
Title or Position : CFO
Name : JULIA F HANOVER
Credential :
Telephone Number : 336-886-6553
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/26/2008

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