Provider Demographics
NPI:1851937429
Name:EC OPCO SALISBURY LP
Entity type:Organization
Organization Name:EC OPCO SALISBURY LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL DIRECTOR OF MANAGEMENT CO
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-213-4234
Mailing Address - Street 1:ELMCROFT OF SALISBURY
Mailing Address - Street 2:5885 MEADOWS ROAD, #500
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035
Mailing Address - Country:US
Mailing Address - Phone:971-213-4234
Mailing Address - Fax:
Practice Address - Street 1:1915 MOORESVILLE RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-6200
Practice Address - Country:US
Practice Address - Phone:704-633-4666
Practice Address - Fax:704-612-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home