Organization · Type 2 NPI
Premier Living and Rehab Center
Nursing Facility/Intermediate Care Facility · Lake Waccamaw, NC
Practice location
106 Cameron St
Lake Waccamaw, NC 28450-1900
Fax (910) 646-4071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | None listed |
| Skilled Nursing Facility | 314000000X | NH0246 (NC) |
| Nursing Facility Supplies (DME) | 332BN1400X | 5030990001 (NC) |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 5030990001 (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…
2 other providers at this address
About NPI 1720085293
Premier Living and Rehab Center's National Provider Identifier is 1720085293, issued on Jun 30, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Lake Waccamaw, NC. The record was last updated on Nov 2, 2011.