SMITHFIELD HOLDINGS, LLC
Adult Care Home
Smithfield, North Carolina
Provider NPI: 1922287770
Organization Information:Organization Name: SMITHFIELD HOLDINGS, LLC
Practice Location:
303 HOSPITAL RD SMITHFIELD, NC 27577 US
Tel: 828-738-3046 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:
303 HOSPITAL RD SMITHFIELD, NC 27577 US
Tel: 828-738-3046 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 051-027 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LICENSE | HAL051-027 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin