Organization
CAROLINA SENIORCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRANTLEY LAREW (DIRECTOR OF IT)
(828) 465-8016
Entity
Organization
Contact information
Practice address
802 E CENTER ST, LEXINGTON, NC 27292-4402
(336) 746-3500
(336) 746-3523
Mailing address
802 E CENTER ST, LEXINGTON, NC 27292-4402
(336) 746-3500
(336) 746-3523
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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