RV ASSISTED LIVING, LLC
Alzheimer Center
Rich Square, North Carolina
Provider NPI: 1912144601
Organization Information:Organization Name: RV ASSISTED LIVING, LLC
Practice Location:
400 NORTH MAIN STREET RICH SQUARE, NC 27869 US
Tel: 252-539-4145 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:
400 NORTH MAIN STREET RICH SQUARE, NC 27869 US
Tel: 252-539-4145 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NC | HAL-066-011 |
N | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | ||
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7805825 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin