OrganizationActive
Triad Telecare, Inc.
NPI 1790825354 · Lodging Provider · Randleman, NC
Provider details
- NPI number
- 1790825354
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Pearlie Bullock, Administrator(336) 674-6293
- License
- HAL076008 (NC)
Specialties & taxonomies
Other Service Providers
Practice location
1324 Coltrane Mill Rd
Randleman, NC 27317-8020
Phone: (336) 574-6293
Approximate (ZIP-level) locationGet directions
Mailing address
1328 Coltrane Mill Rd
Randleman, NC 27317-8020
Other names (DBA / former)
- Doing business as
- Country Club Rest Home
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.