White Oak Manor Kings Mountain INC

NPI #1033244090 in Kings Mountain, North Carolina

Provider Information

NPI Number
1033244090
Entity Type
Organization
Organization Name
White Oak Manor Kings Mountain INC
Subpart
Yes (part of a larger organization)
Parent Organization
WHITE OAK MANOR INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 22, 2007
Last Updated
Nov 19, 2007

Practice Location

Address
716 SIPES ST
ZIP Code
28086-2716
Phone
(704) 739-8132

Authorized Official

Name
MR. DAVID JOE HANEY
Title
VP FINANCE
Phone
(864) 327-1162

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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