Mountain House Assisted Living Of Wilkesboro, Llc

LBN: Mountain House Assisted Living Of Wilkesboro, Llc
Mountain House Assisted Living Of Wilkesboro, Llc is an health care organization with primary practice located at 176 Resthome Rd , Wilkesboro NC 28697-7145. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mountain House Assisted Living Of Wilkesboro, Llc can be contacted via phone (336) 973-3890, or through Dodson, Ronald B via phone (336) 416-7149.

Contact Information

Primary practice address
176 Resthome Rd Wilkesboro NC 28697-7145
Fax:
Website:
Authorized official contact:
Name: Dodson, Ronald B

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL 097 009 North Carolina

Profile Details

NPI number 1548392327
LBN Legal business name Mountain House Assisted Living Of Wilkesboro, Llc
DBA Doing business as
Authorized official Dodson, Ronald B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Apr 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548392327 NPPES
North Carolina MEDICAID 7804712

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