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CAROLINA MOUNTAIN DDA GROUP HOME

Adult Care Home

Candler, North Carolina

Provider NPI: 1679778310

Organization Information:
Organization Name:  CAROLINA MOUNTAIN DDA GROUP HOME


Practice Location:
82 DANIEL RIDGE ROAD  CANDLER, NC 28715 US
Tel: 828-665-6578  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCMHL-011-229

Other Provider Identifiers:

IssuerNumberStateType
7804613NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS NC - Page 1