Basic Information
| Provider Information | |||||||||
| NPI: | 1639742919 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANSON HEALTH AND REHABILITATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 229 AIRPORT RD., | ||||||||
| Address2: | SUITE 7, UNIT 104 | ||||||||
| City: | ARDEN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196089123 | ||||||||
| FaxNumber: | 9198829771 | ||||||||
| Practice Location | |||||||||
| Address1: | 405 S GREEN ST | ||||||||
| Address2: | |||||||||
| City: | WADESBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281702719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046953301 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2021 | ||||||||
| LastUpdateDate: | 07/23/2021 | ||||||||
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| AuthorizedOfficialLastName: | SPRENGER | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialMiddleName: | JOHN | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9196089123 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | ANSON HEALTH AND REHABILITATION | ||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 06/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.