STANLEY TOTAL LIVING CENTER, INC
Alzheimer Center
Stanley, North Carolina
Provider NPI: 1407843097
Organization Information:Organization Name: STANLEY TOTAL LIVING CENTER, INC
Practice Location:
514 OLD MOUNT HOLLY RD STANLEY, NC 28164 US
Tel: 704-263-1986 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:
514 OLD MOUNT HOLLY RD STANLEY, NC 28164 US
Tel: 704-263-1986 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NC | NH0386 |
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0386 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NC | NH0386 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0386 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PROVIDER NUMBER | 0086C | NC | 01 |
3405264 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin