Smith Street Village Family Care Home, LLC

NPI #1174906846 in Leicester, North Carolina

Provider Information

NPI Number
1174906846
Entity Type
Organization
Organization Name
Smith Street Village Family Care Home, LLC
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Jun 30, 2015
Last Updated
Jul 10, 2015

Practice Location

Address
235 COUNTRY TIME CIRCLE
ZIP Code
28748-6213
Phone
(828) 676-5600

Authorized Official

Name
MR. NICHOLAS B STREET, RN
Title
PRESIDENT/ADMINISTRATOR
Phone
(828) 676-5600

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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