Organization
KNOXS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY YVONNE KNOX OWNER (ADMINISTRATOR)
(704) 475-5821
Entity
Organization
Contact information
Practice address
3311 RIDGEWOOD AVE, MONROE, NC 28110-8988
(704) 475-5821
(704) 475-7207
Mailing address
2918 DUCK POINT DR, MONROE, NC 28110-8813
(704) 475-5821
(704) 475-7207
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
FCL090026
NC
Other
Enumeration date
04/17/2007
Last updated
08/09/2012
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