Provider Demographics
NPI:1023671765
Name:ALPINE HEALTH AND REHABILITATION OF ASHEBORO
Entity type:Organization
Organization Name:ALPINE HEALTH AND REHABILITATION OF ASHEBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-709-9026
Mailing Address - Street 1:PO BOX 10232
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27532-0232
Mailing Address - Country:US
Mailing Address - Phone:919-709-9026
Mailing Address - Fax:
Practice Address - Street 1:230 E PRESNELL ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4743
Practice Address - Country:US
Practice Address - Phone:919-709-9026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility