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Premier Living And Rehab Center
Parenteral & Enteral Nutrition Supplies (DME) in Lake Waccamaw, North Carolina
NPI 1720085293

Premier Living And Rehab Center is a Parenteral & Enteral Nutrition Supplies (DME) based in Lake Waccamaw, NC and is specialized in Parenteral & Enteral Nutrition. Premier Living And Rehab Center practices in Lake Waccamaw, NC. The NPI Number for Premier Living And Rehab Center is 1720085293 and holds a License No. (North Carolina).

The current practice location address for Premier Living And Rehab Center is 106 Cameron St, Lake Waccamaw, NC and can be reached out via phone at 910-646-3132 and via fax at 910-646-4071. You can also correspond with Premier Living And Rehab Center through the mailing address at 106 CAMERON ST, LAKE WACCAMAW, NC - 28450-1900 (mailing address contact number: 910-646-3132).

Location: 106 Cameron St, Lake Waccamaw, NC, 28450-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720085293
Provider Name
Premier Living And Rehab Center
Credential
Provider Entity Type
Organization
Address
106 Cameron St, Lake Waccamaw, NC, 28450-1900
Phone Number
910-646-3132
Fax Number
910-646-4071
Provider Enumeration Date
06/30/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3435185 05 NC
3436171 05 NC
7804320 05 NC
institution
Provider Business Practice Location Address Details
Address
106 Cameron St
City
Lake Waccamaw
State
North Carolina
Zip
28450-1900
Phone Number
910-646-3132
Fax Number
910-646-4071
person
Provider Business Mailing Address Details
Address
106 Cameron St
City
Lake Waccamaw
State
North Carolina
Zip
28450-1900
Phone Number
910-646-3132
Fax Number
910-646-4071
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
5030990001 (North Carolina)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
5030990001 (North Carolina)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
NH0246 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
(North Carolina)
Definition
Definition to come...
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