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Organization
DOMINION FALLS FAMILY CARE HOME O
Active
Organization
DOMINION FALLS FAMILY CARE HOME O
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA BOONE (OWNER)
(828) 582-1739
Entity
Organization
Contact information
Practice address
60 HORNOT CIR, UNIT O, ASHEVILLE, NC 28806-3949
(828) 582-1739
Mailing address
60 HORNOT CIR, UNIT O, ASHEVILLE, NC 28806-3949
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-011-239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FCL-011-239
—
NC
Enumeration date
06/14/2007
Last updated
08/22/2020
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