Organization
620 TOM HUNTER ROAD OPCO LLC
Active
Other names
Crown Haven Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
620 TOM HUNTER RD, CHARLOTTE, NC 28213-5511
(704) 598-5136
(704) 598-5167
Mailing address
620 TOM HUNTER RD, CHARLOTTE, NC 28213-5511
(704) 598-5136
(704) 598-5167
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
03/10/2025
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