# GREENS AT WEAVERVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417696576
- **Authorized official:** JACOB STERN (CEO)
- **Authorized official phone:** (513) 830-5342

## Contact information

- **Practice address:** 78 WEAVER BLVD, WEAVERVILLE, NC 28787-9322
- **Practice address phone:** (828) 645-4297
- **Practice address fax:** (828) 645-4532
- **Mailing address:** 15 AMERICA AVE UNIT 304, LAKEWOOD, NJ 08701-4582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2022
- **Last updated:** 05/27/2022