# LUTHERAN HOME AT TRINITY OAKS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN SERVICES FOR THE AGING
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982891560
- **Legal business name:** LUTHERAN SERVICES FOR THE AGING
- **Authorized official:** MR. BILL JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (704) 637-3784

## Contact information

- **Practice address:** 820 KLUMAC RD, SALISBURY, NC 28144-5722
- **Practice address phone:** (704) 637-3784
- **Practice address fax:** (704) 636-9464
- **Mailing address:** 820 KLUMAC RD, SALISBURY, NC 28144-5722
- **Mailing address phone:** (704) 637-3784
- **Mailing address fax:** (704) 636-9464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | NH0197 | NC | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 01/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7805266 | — | NC |