ARCHDALE NURSING CENTER, INC.
Adult Care Home
Trinity, North Carolina
Provider NPI: 1588642102
Organization Information:Organization Name: ARCHDALE NURSING CENTER, INC.
Practice Location:
116 LANE DR TRINITY, NC 27370 US
Tel: 336-431-8888 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
116 LANE DR TRINITY, NC 27370 US
Tel: 336-431-8888 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0489 |
X | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0489 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7801536 | NC | 05 | |
3405330 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin