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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PREMIER LIVING AND REHAB CENTER

Active Organization

PREMIER LIVING AND REHAB CENTER is a Nursing Facility/Intermediate Care Facility organization located in LAKE WACCAMAW, North Carolina. NPI 1720085293 is currently active in the NPPES registry. Verify at CMS.

Nursing Facility/Intermediate Care Facility · LAKE WACCAMAW, NC

Registration Details

NPI Number
1720085293
Provider Type
Organization
NPI Issued
Jun 30, 2005 (21.085858334486 yrs)
Last Updated
Nov 2, 2011
Licenses
5030990001 (NC)
5030990001 (NC)
NH0246 (NC)

Practice Information

Address
106 CAMERON ST
LAKE WACCAMAW, NC, 284501900
Browse NC providers · Browse ZIP 28450
Phone
9106463132
Fax
9106464071
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.