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:
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:
308 W MEADOWVIEW RD GREENSBORO, NC 27406 US
Tel: 336-230-0534 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NC | NH0552 |
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0552 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7806638 | NC | 05 | |
7802688 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin