Organization
TRIAD TELECARE, INC.
Active
Other names
Country Club Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEARLIE M. BULLOCK (ADMINISTRATOR)
(336) 674-6293
Entity
Organization
Contact information
Practice address
1324 COLTRANE MILL RD, RANDLEMAN, NC 27317-8020
(336) 574-6293
Mailing address
1328 COLTRANE MILL RD, RANDLEMAN, NC 27317-8020
(336) 674-6293
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
HAL076008
NC
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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