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GRANITE FALLS LTC, LLC

Adult Care Home >> Custodial Care Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1174567531

Organizational Registrant:
Organization Name:  GRANITE FALLS LTC, LLC
Organization is not Subpart
Authorized Official:  KAREN G MCDANIEL  PRESIDENT  252--52-39094

Location and contact information for practice:
1808 N CANNON BLVD  KANNAPOLIS, NC 28083-2670 US
Tel: 704-932-5517  Fax: 704-932-1200

Contact information for business:
1808 N CANNON BLVD  KANNAPOLIS, NC 28083-2670 US
Tel: 704-932-5517  Fax: 704-932-1200

Registration Information:
NPI: 1174567531
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCHAL080003

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
7806637NC05




HEALTH CARE JOBS NC - Page 1



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