1000 Tandall Place Opco LLC
NPI #1790593648 in Knightdale, North Carolina
Provider Information
- NPI Number
- 1790593648
- Entity Type
- Organization
- Organization Name
- 1000 Tandall Place Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 24, 2024
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 1000 TANDAL PL
- City
- Knightdale
- State
- North Carolina
- ZIP Code
- 27545-8842
- Phone
- (919) 266-7744
Authorized Official
- Name
- TIFFANY HOBACK
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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