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NPI Code Detail

MEDICARE: AMBASSADOR REHABILITATION AND HEALTHCARE CENTER, LLC

MEDICARE: AMBASSADOR REHABILITATION AND HEALTHCARE CENTER, LLC
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
1311Z00000XCustodial Care FacilityNH0090NC
2314000000XSkilled Nursing Facility

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 : 1932411956
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMBASSADOR REHABILITATION AND HEALTHCARE CENTER, LLC
Provider Business Mailing Address
First Line : 2051 COUNTRY CLUB RD
Second Line :
City : WADESBORO
State : NC
Zip : 28170-3203
Country : US
Telephone Number : 704-694-4106
Fax Number : 704-694-6271
Provider Business Practice Location Address
First Line : 2051 COUNTRY CLUB RD
Second Line :
City : WADESBORO
State : NC
Zip : 28170-3203
Country : US
Telephone Number : 704-694-4106
Fax Number : 704-694-6271
Authorized Official
Title or Position : VICE PRESIDENT & SECRETARY
Name : MICHELLE D MEER
Credential :
Telephone Number : 629-626-0000
Provider Enumeration Date : 07/07/2010
Last Update Date : 12/29/2017

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