NPI | 1750418802 |
---|---|
Doing Business As | EDGEWOOD PLACE AT THE VILLAGE AT BROOKWOOD |
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL BENTON CFO 336-570-8458 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0596) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |