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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
NCNH0386
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
NCNH0386
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
NCNH0386
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
NCNH0386

Other Provider Identifiers:

IssuerNumberStateType
PROVIDER NUMBER0086CNC01
3405264NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS NC - Page 1



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