Smith Street Village Family Care Home, LLC
NPI #1275916942 in Leicester, North Carolina
Provider Information
- NPI Number
- 1275916942
- 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 14, 2015
Practice Location
- Address
- 234 COUNTRY TIME LN
- City
- Leicester
- State
- North Carolina
- 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 Home — Adult Care Home |
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