SHANGRI-LA OF BUNCOMBE INC.
Adult Care Home
Weaverville, North Carolina
Provider NPI: 1063543882
Organization Information:Organization Name: SHANGRI-LA OF BUNCOMBE INC.
Practice Location:
113 ROBERTS RD WEAVERVILLE, NC 28787 US
Tel: 828-645-2548 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
113 ROBERTS RD WEAVERVILLE, NC 28787 US
Tel: 828-645-2548 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | FCL-011-059 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7802161 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin