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Organization
GRANITE FALLS LTC, LLC
Active
Organization
GRANITE FALLS LTC, LLC
Active
Other names
Kannon Creek Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
1808 N CANNON BLVD, KANNAPOLIS, NC 28083-2670
(704) 932-5517
(704) 932-1200
Mailing address
1808 N CANNON BLVD, KANNAPOLIS, NC 28083-2670
(704) 932-5517
(704) 932-1200
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL080003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806637
—
NC
Enumeration date
06/16/2006
Last updated
04/07/2017
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