- Enrollment id
- O20241211002051
- Enrollment state
- NC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1427821669
- Multiple npi flag
- N
- Ccn
- 345149
- Associate id
- 5294261475
- Organization name
- BRIAN CENTER LANE OPERATING COMPANY, LLC
- Doing business as name
- MILL CREEK CENTER FOR NURSING AND REHABILITATION
- Incorporation date
- 2023-10-18
- Incorporation state
- NC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- MILL CREEK CENTER FOR NURSING AND REHABILITATION
- Affiliation entity name
- ALLIANCE HEALTH GROUP
- Affiliation entity id
- 714
- Address line 1
- 4911 BRIAN CENTER LN
- City
- WINSTON SALEM
- State
- NC
- Zip code
- 271066423