Organization
CONCORD HEALTH CARE LP
Active
Organization
CONCORD HEALTH CARE LP
Active
Other names
The Country Home
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HODGES (MEMBER MANAGER)
(828) 738-3046
Entity
Organization
Contact information
Practice address
2908 COUNTRY HOME RD, CONCORD, NC 28025-7628
(704) 782-5288
(704) 782-5304
Mailing address
2908 COUNTRY HOME RD, CONCORD, NC 28025-7628
(704) 782-5288
(704) 782-5304
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL013012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805645
—
NC
Enumeration date
02/23/2007
Last updated
08/22/2020
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