Organization
FIVE OAKS MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E KNEELAND NHA (NURSING HOME ADMINISTRATOR)
(704) 788-2131
Entity
Organization
Contact information
Practice address
413 WINECOFF SCHOOL ROAD, CONCORD, NC 28027-4175
(704) 788-2131
(704) 786-1557
Mailing address
413 WINECOFF SCHOOL ROAD, CONCORD, NC 28027-4175
(704) 788-2131
(704) 786-1557
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0027
NC
314000000X
Skilled Nursing Facility
Primary
NH0027
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415186
—
NC
05
—
3416170
—
NC
Enumeration date
10/03/2005
Last updated
10/25/2007
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