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MASONIC AND EASTERN STAR HOME OF NORTH CAROLINA, INCORPORATED

Nursing/Intermediate Care Facility

Greensboro, North Carolina

Provider NPI: 1548230188

Organization Information:
Organization Name:  MASONIC AND EASTERN STAR HOME OF NORTH CAROLINA, INCORPORATED


Practice Location:
700 S HOLDEN RD  GREENSBORO, NC 27407 US
Tel: 336-299-0031  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
NCNH0141
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
NCNH0141

Other Provider Identifiers:

IssuerNumberStateType
340614PNC05
3415506NC05
PARTNERS INSURANCE22871NC01
7806239NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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