# EAGLE PEAK LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westwood Hills Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184650541
- **Authorized official:** MS. KAREN G MCDANIEL (PRESIDENT)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 1016 FLETCHER ST, WILKESBORO, NC 28697-9472
- **Practice address phone:** (336) 667-9261
- **Practice address fax:** (336) 667-4825
- **Mailing address:** 1016 FLETCHER ST, WILKESBORO, NC 28697-9472
- **Mailing address phone:** (336) 667-9261
- **Mailing address fax:** (336) 667-4825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0295 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00952 | BC/BS OF NC | NC |
| 01 | — | 24393 | PARTNERS INSURANCE | NC |
| 05 | — | 3405205 | — | NC |
| 05 | — | 3415205 | — | NC |
| 05 | — | 7907622 | — | NC |