Organization
THE LAURELS OF GREENTREE RIDGE, INC.
Active
Other names
THE LAURELS OF GREENTREE RIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PATTON (CFO)
(614) 794-8800
Entity
Organization
Contact information
Practice address
70 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
(828) 274-7646
(828) 277-4752
Mailing address
70 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
(828) 274-7646
(828) 277-4752
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
NH 0463
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097Y
BC/BS #
NC
05
—
3415303
—
NC
01
—
7171166
UNITED HEALTH CARE ID #
NC
01
—
923203
FACILITY ID#
NC
01
—
NH0463
NH LICENSE #
NC
Enumeration date
10/17/2006
Last updated
10/05/2007
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