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1982137154
MCRANDON ELVENSTAR
MONROE, NC
NPI
1982137154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NC 2617)
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- MCRANDON ELVENSTAR
204 E OLD HIGHWAY 74
MONROE, NC 28112-8122
Phone number: 704-283-3066
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Mailing Address
-- MCRANDON ELVENSTAR
7817 SURREYWOOD PL
CHARLOTTE, NC 28270-2161
Phone number: 704-651-2509
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