Tanjer House

NPI 1235284423 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1235284423
Enumeration Date 01/25/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name REGINALD ELZA REGINALD
Position EXECUTIVE DIRECTOR
Phone (828) 884-2550
Fax (828) 884-2550
Practice Location
161 E FRENCH BROAD ST
BREVARD NC, 28712-3410, US
Phone (828) 884-2550
Fax (828) 884-2550
Business Location
161 E FRENCH BROAD ST
BREVARD NC, 28712-3410, US
Phone (828) 884-2550
Fax (828) 884-2550
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL-088-015
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According to our database, Tanjer House NPI is 1235284423, taxonomy code is 320600000X and license number is MHL-088-015, license state is located at North Carolina. Tanjer House physically located at 161 E French Broad St, Brevard NC, 28712-3410. NPI Number 1033115704 has the healthcare provider type.

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1235284423 NPI number is provided on an as is basis without warranty of any kind. 1235284423 is maintained by the National Plan & Provider Enumeration System. The contents of Tanjer House are for informational purposes only.