# GRANITE FALLS LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kannon Creek Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174567531
- **Authorized official:** MS. KAREN G MCDANIEL (PRESIDENT)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 1808 N CANNON BLVD, KANNAPOLIS, NC 28083-2670
- **Practice address phone:** (704) 932-5517
- **Practice address fax:** (704) 932-1200
- **Mailing address:** 1808 N CANNON BLVD, KANNAPOLIS, NC 28083-2670
- **Mailing address phone:** (704) 932-5517
- **Mailing address fax:** (704) 932-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL080003 | NC | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 04/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7806637 | — | NC |