Carolina Mtn Dda

NPI 1023139417 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1023139417
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MILDRED LOVE MILDRED
Position OWNER
Phone (828) 665-6578
Fax
Practice Location
110 DANIEL RIDGE RD
CANDLER NC, 28715, US
Phone (828) 665-6578
Fax
Business Location
PO BOX 1311
CANDLER NC, 28715-1311, US
Phone (828) 665-6578
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number MHL-011-229
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According to our database, Carolina Mtn Dda NPI is 1023139417, taxonomy code is 311ZA0620X and license number is MHL-011-229, license state is located at North Carolina. Carolina Mtn Dda physically located at 110 Daniel Ridge Rd, Candler NC, 28715. NPI Number 1033115704 has the healthcare provider type.

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1023139417 NPI number is provided on an as is basis without warranty of any kind. 1023139417 is maintained by the National Plan & Provider Enumeration System. The contents of Carolina Mtn Dda are for informational purposes only.