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VINTAGE INN OF WILLIAMSTON, LLC

Alzheimer Center

Williamston, North Carolina

Provider NPI: 1518042811

Organization Information:
Organization Name:  VINTAGE INN OF WILLIAMSTON, LLC


Practice Location:
826 EAST BLVD HWY 17 N BYPASS WILLIAMSTON, NC 27892 US
Tel: 252-792-8311  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NCHAL-058-007
X311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
NCHAL-058-007

Other Provider Identifiers:

IssuerNumberStateType
7804486NC05
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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