Organization
LUTHERAN HOME-HICKORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER MCINTOSH (ADMINISTRATOR)
(828) 328-2006
Entity
Organization
Contact information
Practice address
1265 21ST ST NE, HICKORY, NC 28601-2911
(828) 328-2006
(828) 327-0512
Mailing address
1265 21ST ST NE, HICKORY, NC 28601-2911
(828) 328-2006
(828) 327-0512
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5298520001
DURABLE MEDICAL EQUIPMENT
NC
01
—
5325960001
DURABLE MEDICAL EQUIPMENT
NC
Enumeration date
12/11/2007
Last updated
01/17/2008
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