# 333 EAST LEE AVENUE OPCO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Willowbrook Rehabilitation and Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669280517
- **Authorized official:** TIFFANY HOBACK (MANAGER)
- **Authorized official phone:** (770) 698-9040

## Contact information

- **Practice address:** 333 E LEE AVE, YADKINVILLE, NC 27055-8132
- **Practice address phone:** (336) 679-8028
- **Practice address fax:** (336) 679-4072
- **Mailing address:** 333 E LEE AVE, YADKINVILLE, NC 27055-8132
- **Mailing address phone:** (336) 679-8028
- **Mailing address fax:** (336) 679-4072

## Taxonomy

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

## Other

- **Enumeration date:** 12/24/2024
- **Last updated:** 03/10/2025
