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Organization

ASHEVILLE GERIATRIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHANI MOHAN VUPADHYAYULA MD, MBA (MANAGING AGENT)
(704) 989-5736
Entity
Organization

Contact information

Practice address
95 RICHMOND HILL RD, ASHEVILLE, NC 28806-3918
(704) 989-5736
Mailing address
95 RICHMOND HILL RD, ASHEVILLE, NC 28806-3918

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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