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Organization
GRANITE FALLS LTC, LLC
Active
Organization
GRANITE FALLS LTC, LLC
Active
Other names
University Place Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
9200 GLENWATER DR, CHARLOTTE, NC 28262-8557
(704) 549-0807
(704) 548-8413
Mailing address
PO BOX 561869, CHARLOTTE, NC 28256-1869
(704) 549-0807
(704) 548-8413
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096Q
BC/BS OF NC
NC
01
—
24367
PARTNERS INSURANCE
NC
05
—
3415142
—
NC
05
—
3425142
—
NC
05
—
7801034
—
NC
Enumeration date
06/25/2006
Last updated
07/14/2021
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