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Organization
MOUNTAIN TRACE ENTERPRISE LLC
Active
Organization
MOUNTAIN TRACE ENTERPRISE LLC
Active
Other names
Mountain Trace Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELI STROHLI (DIRECTOR)
(305) 864-9191
Entity
Organization
Contact information
Practice address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1605
Mailing address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1605
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341-5302
—
NC
05
—
341-6484
—
NC
Enumeration date
04/28/2009
Last updated
11/02/2009
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