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SNOWSHOE LTC GROUP, LLC

Adult Care Home

Greensboro, North Carolina

Provider NPI: 1144405804

Organization Information:
Organization Name:  SNOWSHOE LTC GROUP, LLC


Practice Location:
308 W MEADOWVIEW RD  GREENSBORO, NC 27406 US
Tel: 336-230-0534  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
NCNH0552
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
NCNH0552

Other Provider Identifiers:

IssuerNumberStateType
7806638NC05
7802688NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1



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