Organization
GAHC3 MOORESVILLE NC TRS SUB, LLC
Active
Other names
Cadence Mooresville
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
198 E WATERLYNN RD, MOORESVILLE, NC 28117-8074
(704) 660-8000
(704) 660-8001
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
(949) 270-9200
(949) 474-0442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
09/26/2019
Last updated
10/30/2019
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