TRC of Salisbury, Inc.
Organization Active NPI Adult Care Home Facility · Spencer, NC
NPI 1962479840 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1962479840
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- HAL-080-009 (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 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Nick Elledge
- Title
- Vice President
- Phone
- (336) 679-8852
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | HAL-080-009 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801193 | Medicaid | NC |
Other names
- Veranda Residential Care
Other providers in Spencer, NC
- Melinda Marie Steelman
- The Mental Health Association in North Carolina, Inc.
- Total Renal Care of North Carolina LLC
- Jo Ann Townsend
- TRC of Salisbury, Inc.
- Truecarerx, LLC
- Ryan Chandler Upright
- Kenneth Washko
- Tara White
All providers in Spencer, NC · Adult Care Home Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.