Organization
TRC OF SALISBURY, INC.
Active
Other names
Veranda Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 633-3892
(704) 637-2784
Mailing address
PO BOX 5, SPENCER, NC 28159-0005
(704) 633-3892
(704) 637-2784
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-080-009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801193
—
NC
Enumeration date
03/01/2006
Last updated
07/11/2014
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