Premier Living And Rehab Center

LBN: Premier Living And Rehab Center
Premier Living And Rehab Center is an health care organization with primary practice located at 106 Cameron St , Lake Waccamaw NC 28450-1900. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Premier Living And Rehab Center can be contacted via phone (910) 646-3132, or through Parnell, Linda Benton via phone (910) 646-3132.

Contact Information

Primary practice address
106 Cameron St Lake Waccamaw NC 28450-1900
Phone: (910) 646-3132
Fax: (910) 646-4071
Website:
Map and Directions
Authorized official contact:
Name: Parnell, Linda Benton LNHA
Phone: (910) 646-3132

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X North Carolina
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0246 North Carolina
Suppliers / Nursing Facility Supplies 332BN1400X 5030990001 North Carolina
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 5030990001 North Carolina

Profile Details

NPI number 1720085293
LBN Legal business name Premier Living And Rehab Center
DBA Doing business as
Authorized official Parnell, Linda Benton LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Nov 2nd, 2011 - about 15 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 1720085293 NPPES
North Carolina MEDICAID 3435185
North Carolina MEDICAID 3436171
North Carolina MEDICAID 7804320

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