NPI 1265468441

Birch Ltc Group, LLC

Organisation Adult Care Home Facility La Grange, NC

Practice location

Address: 167 Fussell Rd, La Grange, NC 28551-7745
Phone: (252) 566-4112
Fax: (252) 566-2267
Mailing address: PO Box 428, La Grange, NC 28551-0428

Authorised official

Name: Karen G McDaniel
Title: President
Phone: (252) 523-9094

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence HAL096001 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1265468441
Entity type: Organization
NPI issued: 23 Jun 2006
Record last updated: 7 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.