Organization
GRANITE FALLS LTC, LLC
Active
Other names
Magnolia Lane 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
107 MAGNOLIA DR, MORGANTON, NC 28655-4505
(828) 437-8760
(828) 437-5336
Mailing address
107 MAGNOLIA DR, MORGANTON, NC 28655-4505
(828) 437-8760
(828) 437-5336
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090T
BC/BS OF NC
NC
05
—
3415219
—
NC
05
—
3425219
—
NC
01
—
7108232
UNITED HEALTHCARE #
NC
Enumeration date
06/23/2006
Last updated
07/14/2021
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