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Organization
CCC OF MT. AIRY, INC
Active
Organization
CCC OF MT. AIRY, INC
Active
Other names
Central Continuing Care
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TAYLO (ADMINISTRATOR)
(336) 786-2133
Entity
Organization
Contact information
Practice address
1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
(336) 786-2133
(336) 786-2014
Mailing address
1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
(336) 786-2133
(336) 786-2014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0516
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415410
—
NC
05
—
341600U
—
NC
Enumeration date
03/14/2006
Last updated
08/22/2020
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