Organization
LUTHERAN HOME AT TRINITY OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL JOHNSON (ADMINISTRATOR)
(704) 637-3784
Entity
Organization
Contact information
Practice address
820 KLUMAC RD, SALISBURY, NC 28144-5722
(704) 637-3784
(704) 636-9464
Mailing address
820 KLUMAC RD, SALISBURY, NC 28144-5722
(704) 637-3784
(704) 636-9464
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
NH0197
NC
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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