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 |