- Enrollment id
- O20161116000821
- Enrollment state
- NC
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1831551514
- Multiple npi flag
- N
- Ccn
- 345070
- Associate id
- 6305125345
- Organization name
- DURHAM REHAB OPERATIONS LLC
- Doing business as name
- DURHAM NURSING AND REHABILITATION CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 411 S LASALLE ST
- City
- DURHAM
- State
- NC
- Zip code
- 277053701