Wilora Lake Healthcare Center

LBN: Wilora Lake Healthcare Llc
Wilora Lake Healthcare Center is an health care organization with primary practice located at 6001 Wilora Lake Rd , Charlotte NC 28212-2833. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Wilora Lake Healthcare Llc can be contacted via phone (704) 563-2922, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
6001 Wilora Lake Rd Charlotte NC 28212-2833
Phone: (704) 563-2922
Fax: (704) 563-2814
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH572 North Carolina

Profile Details

NPI number 1215979059
LBN Legal business name Wilora Lake Healthcare Llc
DBA Doing business as Wilora Lake Healthcare Center
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215979059 NPPES
North Carolina MEDICAID 1215979059

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