Organization
GRANITE FALLS LTC, LLC
Active
Other names
University Place Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
9200 GLENWATER DR, CHARLOTTE, NC 28262-8557
(704) 549-0807
(704) 548-8413
Mailing address
PO BOX 561869, CHARLOTTE, NC 28256-1869
(704) 549-0807
(704) 548-8413
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096Q
BC/BS OF NC
NC
01
—
24367
PARTNERS INSURANCE
NC
05
—
3415142
—
NC
05
—
3425142
—
NC
05
—
7801034
—
NC
Enumeration date
06/25/2006
Last updated
07/14/2021
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