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34D2083116 CLIA NUMBER - LUTHERAN HOME FORSYTH COUNTY DBA TRINITY ELMS

Laboratory Demographics

CLIA Number: 34D2083116

Facility Name: LUTHERAN HOME FORSYTH COUNTY DBA TRINITY ELMS

Facility Address:
7449 FAIR OAKS DRIVE
CLEMMONS, NC
ZIP 27012
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Facility Phone Number: 336 747-1153

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1578619938

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 34D2083116
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHERAN HOME FORSYTH COUNTY DBA TRINITY ELMS
Street 7449 FAIR OAKS DRIVE
City CLEMMONS
State NC
ZIP 27012
Phone 336 747-1153
CertificateType 4
CertificateEffectiveDate 8/28/2022
CertificateExpirationDate 8/27/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024