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Organization

WOS, INC.

Active
Other names
Alexandria Place
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY FOWLER (ADMINISTRATOR)
(704) 853-8175
Entity
Organization

Contact information

Practice address
1770 OAK HOLLOW RD, GASTONIA, NC 28054-1749
(704) 853-8175
(704) 842-4045
Mailing address
1770 OAK HOLLOW RD, GASTONIA, NC 28054-1749
(704) 853-8175
(704) 842-4045

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0547
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
341605E
NC
Enumeration date
01/28/2009
Last updated
01/28/2009
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