Organization
WILLOW RIDGE OF NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (EXECUTIVE CONTROLLER)
(224) 377-2400
Entity
Organization
Contact information
Practice address
237 TRYON RD, RUTHERFORDTON, NC 28139-3058
(828) 286-7200
(828) 287-3668
Mailing address
237 TRYON RD, RUTHERFORDTON, NC 28139-3058
(828) 286-7200
(828) 287-3668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435197
—
NC
Enumeration date
08/08/2006
Last updated
02/26/2015
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