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Organization
511 WINDMILL STREET OPCO LLC
Active
Organization
511 WINDMILL STREET OPCO LLC
Active
Other names
Walnut Cove Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
511 WINDMILL ST, WALNUT COVE, NC 27052-7706
(336) 491-4353
(336) 591-7659
Mailing address
511 WINDMILL ST, WALNUT COVE, NC 27052-7706
(336) 491-4353
(336) 591-7659
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
12/24/2024
Last updated
03/10/2025
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