AHOSKIE HOUSE
Assisted Living Facility
Ahoskie, North Carolina
Provider NPI: 1417943507
Organization Information:Organization Name: AHOSKIE HOUSE
Practice Location:
407 LOFTIN LN S AHOSKIE, NC 27910 US
Tel: 252-862-4700 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:
407 LOFTIN LN S AHOSKIE, NC 27910 US
Tel: 252-862-4700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | HAL046004 |
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 |
---|---|---|---|
7803956 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin