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Organization
SMITH STREET VILLAGE FAMILY CARE HOME, LLC
Active
Organization
SMITH STREET VILLAGE FAMILY CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS BRUCE STREET BSN, RN (OWNER/PRESIDENT)
(828) 676-5600
Entity
Organization
Contact information
Practice address
34 SMITH GRAVEYARD RD, ASHEVILLE, NC 28806-9655
(828) 676-5600
Mailing address
PO BOX 889, MOUNTAIN HOME, NC 28758-0889
(828) 676-5600
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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