Basic Information
| Provider Information | |||||||||
| NPI: | 1730381567 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SENTERS HOLDINGS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 495 ZION HILL RD | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287526304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287383046 | ||||||||
| FaxNumber: | 8287380350 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 RAWLS CLUB RD | ||||||||
| Address2: | |||||||||
| City: | FUQUAY VARINA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275268031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195526264 | ||||||||
| FaxNumber: | 9195670793 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WILSON | ||||||||
| AuthorizedOfficialFirstName: | MARTHA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8287383046 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 311Z00000X | HAL043021 | NC | Y | Nursing & Custodial Care Facilities | Custodial Care Facility |
No ID Information.