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Birch Ltc Group, Llc
Adult Care Home Facility in La Grange, North Carolina
NPI 1265468441

Birch Ltc Group, Llc is an Adult Care Home Facility based in La Grange, NC and is specialized in Adult Care Home. Birch Ltc Group, Llc practices in La Grange, NC. The NPI Number for Birch Ltc Group, Llc is 1265468441 and holds a License No. HAL096001 (North Carolina).

The current practice location address for Birch Ltc Group, Llc is 167 Fussell Rd, La Grange, NC and can be reached out via phone at 252-566-4112 and via fax at 252-566-2267.

Location: 167 Fussell Rd, La Grange, NC, 28551-0428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265468441
Provider Name
Birch Ltc Group, Llc
Credential
Provider Entity Type
Organization
Address
167 Fussell Rd, La Grange, NC, 28551-0428
Phone Number
252-566-4112
Fax Number
252-566-2267
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7806624 05 NC
7801106 05 NC
W1265264509 01 NC BC/BS OF NC
institution
Provider Business Practice Location Address Details
Address
167 Fussell Rd
City
La Grange
State
North Carolina
Zip
28551-7745
Phone Number
252-566-4112
Fax Number
252-566-2267
person
Provider Business Mailing Address Details
Address
167 Fussell Rd
City
La Grange
State
North Carolina
Zip
28551-7745
Phone Number
252-566-4112
Fax Number
252-566-2267
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
HAL096001 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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