# ASHEVILLE GERIATRIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295330397
- **Authorized official:** DR. PHANI MOHAN VUPADHYAYULA MD, MBA (MANAGING AGENT)
- **Authorized official phone:** (704) 989-5736

## Contact information

- **Practice address:** 95 RICHMOND HILL RD, ASHEVILLE, NC 28806-3918
- **Practice address phone:** (704) 989-5736
- **Mailing address:** 95 RICHMOND HILL RD, ASHEVILLE, NC 28806-3918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 12/04/2020