Fisher Road Group Home

NPI 1023498979 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1023498979
Enumeration Date 06/05/2015
Last Updated 06/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name NANCY B NANCY
Position CEO
Phone (828) 884-8853
Fax
Practice Location
120 FISHER RD
BREVARD NC, 28712-3110, US
Phone (828) 884-8853
Fax
Business Location
PO BOX 1115
BREVARD NC, 28712-1115, US
Phone (828) 884-3195
Fax (828) 884-3102
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL088021
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According to our database, Fisher Road Group Home NPI is 1023498979, taxonomy code is 320600000X and license number is MHL088021, license state is located at North Carolina. Fisher Road Group Home physically located at 120 Fisher Rd, Brevard NC, 28712-3110. NPI Number 1033115704 has the healthcare provider type.

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1023498979 NPI number is provided on an as is basis without warranty of any kind. 1023498979 is maintained by the National Plan & Provider Enumeration System. The contents of Fisher Road Group Home are for informational purposes only.