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Principle LTC is a North Carolina–based skilled nursing facility management company committed to delivering exceptional care across the long-term and post-acute care continuum. Grounded in the belief that when we take care of our people, they are better able to care for those we serve, the organization supports the operational, clinical, and cultural success of the 38 skilled nursing communities it manages while fostering the growth of the dedicated teams who serve within them. With a focus on operational clarity, compassionate service, and purposeful leadership, Principle LTC helps create care environments where residents are supported and staff are empowered to serve with intention. Through continued investment in its facilities, including renovations and approved Certificate of Need projects, Principle LTC remains focused on responsible growth and strengthening the communities it serves. Principle LTC’s family of services also includes Cardinal Hospice Care and Principle Therapy Services. Cardinal Hospice Care provides personalized end-of-life care focused on comfort and dignity. Principle Therapy Services delivers outcomes-driven rehabilitation through licensed professionals embedded in the skilled nursing setting, supporting each resident’s recovery goals with precision and consistency.

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Nancy Koha is the COO of Principle LTC.

180 people are employed at Principle LTC.

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