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Organization
TRC OF SALISBURY, INC.
Active
Organization
TRC OF SALISBURY, INC.
Active
Other names
Magnolia Estates Skilled Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 633-3892
(704) 637-2784
Mailing address
PO BOX 5, SPENCER, NC 28159-0005
(704) 633-3892
(704) 637-2784
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096G
BCBS PROVIDER NO
NC
05
—
3405288
—
NC
05
—
3406433
—
NC
Enumeration date
03/03/2006
Last updated
07/11/2014
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