Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareENTERPRISE HEALTHCARE OF STATESVILLE
Adult Care Home
Statesville, North Carolina
Provider NPI: 1417071457
Organization Information:Organization Name: ENTERPRISE HEALTHCARE OF STATESVILLE
Practice Location:
1942 VAN HAVEN DR STATESVILLE, NC 28625 US
Tel: 704-878-0046 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:
1942 VAN HAVEN DR STATESVILLE, NC 28625 US
Tel: 704-878-0046 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | HAL-049-015 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 7803811 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
