# 518 OLD US HIGHWAY 221 OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Grove Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427866474
- **Authorized official:** TIFFANY HOBACK (MANAGER)
- **Authorized official phone:** (770) 698-9040

## Contact information

- **Practice address:** 518 OLD US 221 HWY N, RUTHERFORDTON, NC 28139-8670
- **Practice address phone:** (828) 287-7655
- **Practice address fax:** (828) 351-2294
- **Mailing address:** 518 OLD US 221 HWY N, RUTHERFORDTON, NC 28139-8670
- **Mailing address phone:** (828) 287-7655
- **Mailing address fax:** (828) 351-2294

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2024
- **Last updated:** 03/10/2025