Provider Demographics
NPI:1114212875
Name:DEERFIELD EPISCOPAL RETIREMENT COMMUNITY, INC.
Entity Type:Organization
Organization Name:DEERFIELD EPISCOPAL RETIREMENT COMMUNITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:WERNET
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:828-274-1531
Mailing Address - Street 1:1617 HENDERSONVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3454
Mailing Address - Country:US
Mailing Address - Phone:828-274-1531
Mailing Address - Fax:828-274-0238
Practice Address - Street 1:1617 HENDERSONVILLE ROAD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3454
Practice Address - Country:US
Practice Address - Phone:828-274-1531
Practice Address - Fax:828-274-0238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0087314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility