TRC of Salisbury, Inc.

Organization Active NPI Skilled Nursing Facility · Spencer, NC

NPI 1376510784 · NPPES record last updated Jul 11, 2014

Key facts

NPI
1376510784
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
NH0442 (NC)
Legal business name
TRC OF SALISBURY, INC.
Practice address
1404 S Salisbury Ave
Spencer, NC 28159-1921
Phone
(704) 633-3892
Fax
(704) 637-2784
NPI assigned
Mar 3, 2006
Organization subpart
No

Authorized official

Name
Mr. Nick Elledge
Title
Vice President
Phone
(336) 679-8852

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0442 NC Yes

Addresses

Primary practice location

1404 S Salisbury Ave
Spencer, NC 28159-1921

Mailing address

PO Box 5
Spencer, NC 28159-0005
Phone (704) 633-3892

Other identifiers

IdentifierTypeStateIssuer
3406433MedicaidNC
0096GOtherNCBCBS PROVIDER NO
3405288MedicaidNC

Other names

  • Magnolia Estates Skilled Care Facility Doing business as

Other providers in Spencer, NC

All providers in Spencer, NC · Skilled Nursing Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.