FAIRVIEW REST HOME
Adult Care Home
Connellys Springs, North Carolina
Provider NPI: 1265551394
Organization Information:Organization Name: FAIRVIEW REST HOME
Practice Location:
2760 ICARD SCHOOL RD CONNELLYS SPRINGS, NC 28612 US
Tel: 828-879-9510 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:
2760 ICARD SCHOOL RD CONNELLYS SPRINGS, NC 28612 US
Tel: 828-879-9510 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 | FCL012006 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7802325 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin