Provider Demographics
NPI:1861039232
Name:GA HC REIT II FUQUAY-VARINA ALF TRS SUB, LLC
Entity Type:Organization
Organization Name:GA HC REIT II FUQUAY-VARINA ALF TRS SUB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED SIGNATORY
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-547-2659
Mailing Address - Street 1:590 MADISON AVE FL 34
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-8533
Mailing Address - Country:US
Mailing Address - Phone:212-547-2600
Mailing Address - Fax:
Practice Address - Street 1:6516 JOHNSON POND RD
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-9035
Practice Address - Country:US
Practice Address - Phone:212-547-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home