Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePEN-DU REST HOME
Adult Care Home
Wallace, North Carolina
Provider NPI: 1326171893
Organization Information:Organization Name: PEN-DU REST HOME
Practice Location:
685 NC HIGHWAY 50 WALLACE, NC 28466 US
Tel: 910-259-4469 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:
685 NC HIGHWAY 50 WALLACE, NC 28466 US
Tel: 910-259-4469 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-071-001 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 7802025 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin