<Unavail>

LBN: Colonial Long Term Care Facility, Inc
<Unavail> is an health care organization with primary practice located at 340 Snowhill Dr , Mount Airy NC 27030-4394. 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. Colonial Long Term Care Facility, Inc can be contacted via phone (336) 786-2194, or through Payne, Mark A. via phone (336) 786-2194.

Contact Information

Primary practice address
340 Snowhill Dr Mount Airy NC 27030-4394
Phone: (336) 786-2194
Fax: (336) 786-8891
Website:
Map and Directions
Authorized official contact:
Name: Payne, Mark A.
Phone: (336) 786-2194

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-086-002 North Carolina

Profile Details

NPI number 1942353677
LBN Legal business name Colonial Long Term Care Facility, Inc
DBA Doing business as <Unavail>
Authorized official Payne, Mark A.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 20th, 2010 - about 16 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 1942353677 NPPES
North Carolina MEDICAID 7801494

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