Organization
BW DALEA ENTERPRISES, LLC
Active
Other names
Wilham Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAGE CHRISTIAN BOARDINGHAM PHARMD, MBA (MANAGER)
(828) 458-7043
Entity
Organization
Contact information
Practice address
30 DALEA DR, ASHEVILLE, NC 28805-1686
(828) 298-7592
Mailing address
227 NUT HATCH LOOP, ARDEN, NC 28704-8103
(828) 458-7043
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/02/2023
Last updated
02/13/2024
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