Organization
LUTHERAN HOME - HICKORY WEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUS FLASKA (ADMINISTRATOR)
(828) 322-6995
Entity
Organization
Contact information
Practice address
1125 10TH STREET BLVD NW, HICKORY, NC 28601-3373
(828) 322-6995
(828) 322-7066
Mailing address
1125 10TH STREET BLVD NW, HICKORY, NC 28601-3373
(828) 322-6995
(828) 322-7066
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NC0162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425106
—
NC
Enumeration date
07/14/2005
Last updated
02/04/2026
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