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BIRCH LTC GROUP, LLC

Adult Care Home

La Grange, North Carolina

Provider NPI: 1265468441

Organization Information:
Organization Name:  BIRCH LTC GROUP, LLC


Practice Location:
167 FUSSELL RD  LA GRANGE, NC 28551 US
Tel: 252-566-4112  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCHAL096001

Other Provider Identifiers:

IssuerNumberStateType
BC/BS OF NCW1265264509NC01
7806624NC05
7801106NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1