| NPI | 1871650879 |
|---|---|
| Other Name | CHILES AVENUE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | AMBER LOCKLEAR Executive Director 828-299-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC MHL-011-024) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-08-16 |