Mountain Living Adult Care Home
NPI #1053691907 in Jefferson, North Carolina
Provider Information
- NPI Number
- 1053691907
- Entity Type
- Organization
- Organization Name
- Mountain Living Adult Care Home
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Aug 24, 2011
- Last Updated
- Aug 24, 2011
Practice Location
- Address
- 121 BROOK ST
- City
- Jefferson
- State
- North Carolina
- ZIP Code
- 28640-9643
- Phone
- (336) 846-2424
Authorized Official
- Name
- MR. ROGER L. GREER
- Title
- OWNER
- Phone
- (336) 846-2424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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