Tar River Ltc Group, LLC
Nursing Facility/Intermediate Care Facility in Plymouth, NC. Organization (NPI-2).
NPI number1184809279
StatusActive
Last updated in NPPESMay 9, 2012
Details
- NPI
- 1184809279
- Entity type
- Organization (NPI-2)
- Legal business name
- Tar River Ltc Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2008
- Last updated
- May 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH0419 | NC | Yes |
Other names
- Roanoke Landing Nursing And Rehabilitation Center (Doing Business As)
Practice location
1084 Us Highway 64 EPlymouth, NC 27962-9215
Phone 252-793-2100 · Fax 252-793-1243
Mailing address
1084 Us Highway 64 EPlymouth, NC 27962-9215
Phone 252-793-2100 · Fax 252-793-1243
Authorized official
Norwood Randolph Uzzell
President
2525239094
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