Organization
TRELLIS SUPPORTIVE CARE ROWAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHELTON (CFO)
(336) 331-1260
Entity
Organization
Contact information
Practice address
301 S MAIN ST STE 105, SALISBURY, NC 28144
(704) 637-7645
Mailing address
720 GROVE ST, SALISBURY, NC 28144-2725
(704) 637-7645
(704) 637-9901
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOS2425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3411505
—
NC
Enumeration date
03/14/2007
Last updated
08/30/2019
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