Organization · Type 2 NPI

Tar River LTC Group, LLC

Nursing Facility/Intermediate Care Facility · Plymouth, NC

NPI number 1184809279 Active

Practice location

1084 US Highway 64 E
Plymouth, NC 27962-9215

Fax (252) 793-1243

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNH0419 (NC)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1184809279

Tar River LTC Group, LLC's National Provider Identifier is 1184809279, issued on Jan 8, 2008. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Plymouth, NC. The record was last updated on May 9, 2012.