# MORGANTON GERIATRIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burke Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952045148
- **Authorized official:** PHANI MOHAN VUPADHYAYULA MD (MANAGER)
- **Authorized official phone:** (704) 989-5736

## Contact information

- **Practice address:** 125 CAMELLIA GARDEN ST, MORGANTON, NC 28655-8207
- **Practice address phone:** (828) 433-5875
- **Practice address fax:** (828) 433-7022
- **Mailing address:** 1121 BALTUSROL LN, WAXHAW, NC 28173-9031

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2022
- **Last updated:** 04/24/2022