# 6001 WILORA LAKE ROAD OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilora Lake Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831907781
- **Authorized official:** TIFFANY HOBACK (MANAGER)
- **Authorized official phone:** (770) 698-9040

## Contact information

- **Practice address:** 6001 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
- **Practice address phone:** (704) 563-2922
- **Practice address fax:** (704) 563-2814
- **Mailing address:** 6001 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
- **Mailing address phone:** (704) 563-2922
- **Mailing address fax:** (704) 563-2814

## Taxonomy

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

## Other

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