Organization
GERIDOCHOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT SHEDERICK FORD JR. M.D. (OWNER)
(828) 424-8163
Entity
Organization
Contact information
Practice address
28 SCHENCK PKWY STE 200, ASHEVILLE, NC 28803-5088
(828) 424-8163
Mailing address
4431 MONTIBELLO DR, CHARLOTTE, NC 28226-7420
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HC4843
NC
Other
Enumeration date
10/01/2016
Last updated
10/01/2016
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