CAROLINA ADVENTIST RETIREMENT SYSTEMS INC
Skilled Nursing Facility
Elizabeth City, North Carolina
Provider NPI: 1730184102
Organization Information:Organization Name: CAROLINA ADVENTIST RETIREMENT SYSTEMS INC
Practice Location:
1075 US HIGHWAY 17 S ELIZABETH CITY, NC 27909 US
Tel: 252-338-3975 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:
1075 US HIGHWAY 17 S ELIZABETH CITY, NC 27909 US
Tel: 252-338-3975 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0040 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3415036 | NC | 05 | |
BLUE CROSS BLUE SHIELD | 00933 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin