Organization
ASHEVILLE GERIATRIC LLC
Active
Other names
Building 4
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
(704) 989-5736
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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