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Organization
GRANITE FALLS LTC, LLC
Active
Organization
GRANITE FALLS LTC, LLC
Active
Other names
Magnolia Lane 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
107 MAGNOLIA DR, MORGANTON, NC 28655-4505
(828) 437-8760
(828) 437-5336
Mailing address
107 MAGNOLIA DR, MORGANTON, NC 28655-4505
(828) 437-8760
(828) 437-5336
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090T
BC/BS OF NC
NC
05
—
3415219
—
NC
05
—
3425219
—
NC
01
—
7108232
UNITED HEALTHCARE #
NC
Enumeration date
06/23/2006
Last updated
07/14/2021
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