| 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 |