Organization · NPI-2
Ac Myrtle Grove
Skilled Nursing Facility · Wilmington, NC
NPI number1104273093
StatusActive
Last updated in NPPESMay 20, 2016
Details
- NPI
- 1104273093
- Entity type
- Organization (NPI-2)
- Legal business name
- Ac Myrtle Grove
- Organization subpart
- No
- Enumeration date
- May 20, 2016
- Last updated
- May 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 5811 | NC | Yes |
Other names
- Saber Healthcare (Doing Business As)
Practice location
5725 Carolina Beach RdWilmington, NC 28412-2611
Phone 910-792-1455 · Fax 910-792-1492
Mailing address
5725 Carolina Beach RdWilmington, NC 28412-2611
Phone 910-792-1455 · Fax 910-792-1492
Authorized official
Cindy L Simmons
Occupational Therapy Assistan
9107921455
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