Organization
HOSPICE & PALLIATIVE CARECENTER
Active
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, BLDG 141, WINSTON SALEM, NC 27103-5766
(336) 768-3972
(336) 659-0461
Mailing address
101 HOSPICE LANE BLDG 141, HOSPICE AND PALLIATIVE CARE CENTER, WINSTON SALEM, NC 27103-5766
(336) 768-3972
(336) 659-0461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023A
BCBS HOSPICE
NC
01
—
00735
BCBS HOMEHEALTH
NC
01
—
15115
MEDCOST
NC
Enumeration date
02/05/2008
Last updated
09/27/2018
Update your record
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