Dba Wayne County Rest Villa I

LBN: B & J Rest Villa
Dba Wayne County Rest Villa I is an health care organization with primary practice located at 305 South Vance Street , Fremont NC 27830. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. B & J Rest Villa can be contacted via phone (919) 242-6161, or through Best, Lorraine via phone (252) 315-1140.

Contact Information

Primary practice address
305 South Vance Street Fremont NC 27830
Fax:
Website:
Authorized official contact:
Name: Best, Lorraine

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL 096 004 North Carolina

Profile Details

NPI number 1275676561
LBN Legal business name B & J Rest Villa
DBA Doing business as Dba Wayne County Rest Villa I
Authorized official Best, Lorraine
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275676561 NPPES
North Carolina MEDICAID 7804062

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