# HUNTERSVILLE OAKS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Huntersville Oaks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215972609
- **Authorized official:** MS. BEVERLY COWDRICK NHA (ADMINISTRATOR)
- **Authorized official phone:** (704) 875-7400

## Contact information

- **Practice address:** 12019 VERHOEFF DR, HUNTERSVILLE, NC 28078-9217
- **Practice address phone:** (704) 875-7400
- **Practice address fax:** (704) 874-7490
- **Mailing address:** 12019 VERHOEFF DR, HUNTERSVILLE, NC 28078-9217
- **Mailing address phone:** (704) 875-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0377 | NC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 03/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0469950001 | MEDICARE DME | NC |