# WILLOW RIDGE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Ridge of NC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629425491
- **Authorized official:** MR. JACOB S. STERN (MANAGER)
- **Authorized official phone:** (732) 659-1353

## Contact information

- **Practice address:** 237 TRYON RD, RUTHERFORDTON, NC 28139-3058
- **Practice address phone:** (828) 286-7200
- **Practice address fax:** (828) 287-3668
- **Mailing address:** 100 ROUTE 70 STE 3, LAKEWOOD, NJ 08701-7406
- **Mailing address phone:** (732) 659-1353
- **Mailing address fax:** (866) 306-0259

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 05/20/2016