Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers |
| NPI # | 1972146256 |
| LBN Legal business name | THE ORCHARD AT STONE CREEK, INC. |
| Authorized official | FRED MCGILL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/19/2019 |
| Last updated | 10/19/2019 - About 7 years ago |
| Identifiers | n/a |
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