Healthcare Provider Details

I. General information

NPI: 1932368586
Provider Name (Legal Business Name): LUTHERAN RETIREMENT MINISTRIES OF ALAMANCE COUNTY, NORTH CAROLINA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2008
Last Update Date: 06/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 HERITAGE DR
BURLINGTON NC
27215-9730
US

IV. Provider business mailing address

100 WADE COBLE DR
BURLINGTON NC
27215-9756
US

V. Phone/Fax

Practice location:
  • Phone: 336-585-2401
  • Fax: 336-585-2439
Mailing address:
  • Phone: 336-538-1501
  • Fax: 336-538-1504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES R HARRIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-538-1501