# FIVE OAKS MANOR LLC

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

## Provider details

- **NPI number:** 1417944752
- **Authorized official:** MR. ROBERT E KNEELAND NHA (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (704) 788-2131

## Contact information

- **Practice address:** 413 WINECOFF SCHOOL ROAD, CONCORD, NC 28027-4175
- **Practice address phone:** (704) 788-2131
- **Practice address fax:** (704) 786-1557
- **Mailing address:** 413 WINECOFF SCHOOL ROAD, CONCORD, NC 28027-4175
- **Mailing address phone:** (704) 788-2131
- **Mailing address fax:** (704) 786-1557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | NH0027 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0027 | NC | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 10/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3415186 | — | NC |
| 05 | — | 3416170 | — | NC |