# COMBS STREET OPERATING COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891470332
- **Authorized official:** YOSEF EMANUEL (MEMBER)
- **Authorized official phone:** (917) 745-7945

## Contact information

- **Practice address:** 179 COMBS ST, SPARTA, NC 28675-8429
- **Practice address phone:** (336) 372-2441
- **Mailing address:** 179 COMBS ST, SPARTA, NC 28675-8429

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 06/21/2023