Organization
HUNTERSVILLE OAKS
Active
Other names
Huntersville Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY COWDRICK NHA (ADMINISTRATOR)
(704) 875-7400
Entity
Organization
Contact information
Practice address
12019 VERHOEFF DR, HUNTERSVILLE, NC 28078-9217
(704) 875-7400
(704) 874-7490
Mailing address
12019 VERHOEFF DR, HUNTERSVILLE, NC 28078-9217
(704) 875-7400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0377
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0469950001
MEDICARE DME
NC
Enumeration date
06/18/2006
Last updated
03/18/2009
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