Organization
HOSPICE & PALLIATIVE CARECENTER
Active
Other names
Trellis Supportive Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHELTON (CFO)
(336) 331-1260
Entity
Organization
Contact information
Practice address
101 HOSPICE LN, WINSTON SALEM, NC 27103-5766
(336) 768-3972
(336) 659-0461
Mailing address
101 HOSPICE LN, WINSTON SALEM, NC 27103-5766
(336) 768-3972
(336) 659-0461
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC0409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023A
BCBS HOSPICE
NC
01
—
00735
BCBS HOMEHEALTH
NC
01
—
28048
PARTNERS HOMEHEALTH
NC
05
—
3401502
—
NC
05
—
3407106
—
NC
01
—
41731
PARTNERS HOSPICE
NC
05
—
6600079
—
NC
Enumeration date
07/01/2006
Last updated
09/27/2018
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