511 Windmill Street Opco LLC
NPI #1164230017 in Walnut Cove, North Carolina
Provider Information
- NPI Number
- 1164230017
- Entity Type
- Organization
- Organization Name
- 511 Windmill Street Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 24, 2024
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 511 WINDMILL ST
- City
- Walnut Cove
- State
- North Carolina
- ZIP Code
- 27052-7706
- Phone
- (336) 491-4353
Authorized Official
- Name
- TIFFANY HOBACK
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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