NPI | 1578814588 |
---|---|
Doing Business As | NC STATE VETERANS HOME - BLACK MTN |
Entity Type | Organization |
Authorized Contact | LYNETHIA N HOLLEY Provider Enrollment Spec 770-806-6875 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0631) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2025-07-24 |