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NPI Code Detail

MEDICARE: SPRING ARBOR OF ALBEMARLE

MEDICARE: SPRING ARBOR OF ALBEMARLE
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
1310400000XAssisted Living FacilityHAL-084-004NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1971268OTHERFACILITY ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3HAL-084-004OTHERNCLICENSE NUMBER

General Provider Information

NPI Number : 1831288299
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING ARBOR OF ALBEMARLE
Provider Business Mailing Address
First Line : 315 PARK RIDGE RD
Second Line :
City : ALBEMARLE
State : NC
Zip : 28001-2818
Country : US
Telephone Number : 704-982-8205
Fax Number : 704-664-9856
Provider Business Practice Location Address
First Line : 315 PARK RIDGE RD
Second Line :
City : ALBEMARLE
State : NC
Zip : 28001-2818
Country : US
Telephone Number : 704-982-8205
Fax Number : 704-664-9856
Authorized Official
Title or Position : EXECUTIVE OFFICER
Name : MR. DAVID REEMSNYDER
Credential :
Telephone Number : 540-552-3515
Provider Enumeration Date : 10/12/2006
Last Update Date : 06/20/2008

Similar Medicare Providers

1336688035 — ANNA NEWTON LAT, ATC
Practice Location Address:
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Practice Fax:
1023752094 — SPRING ARBOR ALBEMARLE NC TENANT, LLC
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Practice Fax:
1215931977 — LUTHERAN HOME- ALBEMARLE, INC.
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1629071642 — PHILIP JONES MD
Practice Location Address:
105 YADKIN ST , STE 102
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1366445207 — CHERYL WEYERS MD
Practice Location Address:
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1629071436 — DR. ROBERT F OVERCASH JR. DDS
Practice Location Address:
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Practice Fax: 704-982-5686

Directions to “SPRING ARBOR OF ALBEMARLE ” Practice Location

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