Organization
WILORA LAKE HEALTHCARE LLC
Active
Other names
Wilora Lake Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LEHNER (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
6001 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
(704) 563-2922
(704) 563-2814
Mailing address
6001 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
(704) 563-2922
(704) 563-2814
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH572
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215979059
—
NC
Enumeration date
06/12/2006
Last updated
09/13/2024
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