Basic Information
| Provider Information | |||||||||
| NPI: | 1518952118 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE REHABILITATION AND SKILLED NURSING FACILITY AT OAK SUMMIT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5680 WINDY HILL DR | ||||||||
| Address2: | |||||||||
| City: | WINSTON-SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271051425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367441188 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5680 WINDY HILL DR | ||||||||
| Address2: | |||||||||
| City: | WINSTON-SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271051425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367441188 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2005 | ||||||||
| LastUpdateDate: | 06/30/2008 | ||||||||
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| AuthorizedOfficialLastName: | CHANDLER | ||||||||
| AuthorizedOfficialFirstName: | TAMMY | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 3367765057 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MBA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 313M00000X | NH0548 | NC | N | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | 314000000X | NH0548 | NC | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.