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TAR RIVER LTC GROUP, LLC

Adult Care Home

Tarboro, North Carolina

Provider NPI: 1770529141

Organization Information:
Organization Name:  TAR RIVER LTC GROUP, LLC


Practice Location:
3210 WESTERN BLVD  TARBORO, NC 27886 US
Tel: 252-823-8546  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCHAL033001

Other Provider Identifiers:

IssuerNumberStateType
7806623NC05
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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