Country Manor Rest Home Inc.

LBN: Country Manor Rest Home Inc.
Country Manor Rest Home Inc. is an health care organization with primary practice located at 2061 Millboro Rd , Franklinville NC 27248-8219. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Country Manor Rest Home Inc. can be contacted via phone (336) 498-5353, or through Upchurch, Sarah via phone (336) 498-2353.

Contact Information

Primary practice address
2061 Millboro Rd Franklinville NC 27248-8219
Fax: (336) 498-5972
Website:
Authorized official contact:
Name: Upchurch, Sarah

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL076002 North Carolina

Profile Details

NPI number 1730221102
LBN Legal business name Country Manor Rest Home Inc.
DBA Doing business as
Authorized official Upchurch, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 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 1730221102 NPPES
North Carolina MEDICAID 7803803

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