# WHITE OAK MANOR RUTHERFORDTON INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITE OAK MANOR INC
- **Other names:** White Oak Manor Rutherfordton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639204282
- **Legal business name:** WHITE OAK MANOR INC
- **Authorized official:** MR. DAVID JOE HANEY (VP FINANCE)
- **Authorized official phone:** (864) 327-1162

## Contact information

- **Practice address:** 188 OSCAR JUSTICE RD, RUTHERFORDTON, NC 28139-8110
- **Practice address phone:** (828) 286-9001
- **Practice address fax:** (828) 286-9070
- **Mailing address:** 188 OSCAR JUSTICE RD, RUTHERFORDTON, NC 28139-8110
- **Mailing address phone:** (828) 286-9001
- **Mailing address fax:** (828) 286-9070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0153 | NC | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 11/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3415083 | — | NC |
| 05 | — | 3416546 | — | NC |