| NPI | 1104060565 |
|---|---|
| Doing Business As | MOUNTAIN TRACE NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | ELI STROHLI Director 305-864-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0623) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-11-02 |