White Oak Manor-Waxhaw INC

NPI #1124342241 in Waxhaw, North Carolina

Provider Information

NPI Number
1124342241
Entity Type
Organization
Organization Name
White Oak Manor-Waxhaw INC
Subpart
Yes (part of a larger organization)
Parent Organization
WHITE OAK MANOR INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 18, 2010
Last Updated
Jul 1, 2010

Practice Location

Address
700 HOWIE MINE RD
City
Waxhaw
ZIP Code
28173-9715
Phone
(704) 243-7640

Authorized Official

Name
MR. DAVID JOE HANEY
Title
VICE PRESIDENT OF FINANCE
Phone
(864) 327-1162

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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