Organization
COMBS STREET OPERATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEF EMANUEL (MEMBER)
(917) 745-7945
Entity
Organization
Contact information
Practice address
179 COMBS ST, SPARTA, NC 28675-8429
(336) 372-2441
Mailing address
179 COMBS ST, SPARTA, NC 28675-8429
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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