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Organization
MORGANTON GERIATRIC LLC
Active
Organization
MORGANTON GERIATRIC LLC
Active
Other names
Burke Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
PHANI MOHAN VUPADHYAYULA MD (MANAGER)
(704) 989-5736
Entity
Organization
Contact information
Practice address
125 CAMELLIA GARDEN ST, MORGANTON, NC 28655-8207
(828) 433-5875
(828) 433-7022
Mailing address
1121 BALTUSROL LN, WAXHAW, NC 28173-9031
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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