Organization
WILLOW RIDGE ASSISTED LIVING LLC
Active
Other names
Willow Ridge Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HODGES (MEMBER MANAGER)
(828) 738-3046
Entity
Organization
Contact information
Practice address
2140 MILTON RD, CHARLOTTE, NC 28215-3319
(704) 563-7650
(704) 535-6950
Mailing address
2140 MILTON RD, CHARLOTTE, NC 28215-3319
(704) 563-7650
(704) 535-6950
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL060070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805586
—
NC
Enumeration date
02/23/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us