SANDY RIDGE HOMES HOLDING CORP
Alzheimer Center
Candor, North Carolina
Provider NPI: 1144375916
Organization Information:Organization Name: SANDY RIDGE HOMES HOLDING CORP
Practice Location:
326 BOWMAN RD CANDOR, NC 27229 US
Tel: 910-974-4162 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:
326 BOWMAN RD CANDOR, NC 27229 US
Tel: 910-974-4162 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NC | HAL-062-009 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7804197 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin