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Organization

TRC OF SALISBURY, INC.

Active
Other names
Magnolia Estates Skilled Care Facility
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICK ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization

Contact information

Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 633-3892
(704) 637-2784
Mailing address
PO BOX 5, SPENCER, NC 28159-0005
(704) 633-3892
(704) 637-2784

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0442
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0096G
BCBS PROVIDER NO
NC
05
3405288
NC
05
3406433
NC
Enumeration date
03/03/2006
Last updated
07/11/2014
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