Organization
KANNAPOLIS HOLDINGS LLC
Active
Other names
Kannapolis Village
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HODGES (MEMBER MANAGER)
(828) 738-3046
Entity
Organization
Contact information
Practice address
1516 PINE ST, KANNAPOLIS, NC 28081-4142
(704) 932-8900
(704) 938-9334
Mailing address
1516 PINE ST, PO BOX 550, KANNAPOLIS, NC 28081-4142
(704) 932-8900
(704) 938-9334
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL013033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805585
—
NC
Enumeration date
02/23/2007
Last updated
08/22/2020
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