Lsa Elms at Tanglewood, Inc.

NPI #1962648543 in Clemmons, North Carolina

Provider Information

NPI Number
1962648543
Entity Type
Organization
Organization Name
Lsa Elms at Tanglewood, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LUTHERAN SERVICES FOR THE AGING
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 2, 2009
Last Updated
Jan 2, 2009

Practice Location

Address
3750 HARPER RD
ZIP Code
27012-8682
Phone
(336) 766-2131

Authorized Official

Name
MRS. DEBORAH ANN MATHIS
Title
COO
Phone
(704) 637-2870

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)
Assisted Living Facility

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