1810 Concord Lake Road Opco LLC
NPI #1114735156 in Kannapolis, North Carolina
Provider Information
- NPI Number
- 1114735156
- Entity Type
- Organization
- Organization Name
- 1810 Concord Lake Road Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 1810 CONCORD LAKE RD
- City
- Kannapolis
- State
- North Carolina
- ZIP Code
- 28083-6434
- Phone
- (704) 933-3781
Authorized Official
- Name
- TIFFANY HOBACK
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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