Organization
LSA ELMS AT TANGLEWOOD, INC.
Active
Parent organization
LUTHERAN SERVICES FOR THE AGING
Other names
Elms at Tanglewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN SERVICES FOR THE AGING
Authorized official
MRS. DEBORAH ANN MATHIS (COO)
(704) 637-2870
Entity
Organization
Contact information
Practice address
3750 HARPER RD, CLEMMONS, NC 27012-8682
(336) 766-2131
(336) 766-2160
Mailing address
3750 HARPER RD, CLEMMONS, NC 27012-8682
(336) 766-2131
(336) 766-2160
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL034085
NC
311500000X
Alzheimer Center (Dementia Center)
HAL034085
NC
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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