# CCC OF MT. AIRY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Continuing Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336118298
- **Authorized official:** KAREN TAYLO (ADMINISTRATOR)
- **Authorized official phone:** (336) 786-2133

## Contact information

- **Practice address:** 1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
- **Practice address phone:** (336) 786-2133
- **Practice address fax:** (336) 786-2014
- **Mailing address:** 1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
- **Mailing address phone:** (336) 786-2133
- **Mailing address fax:** (336) 786-2014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0516 | NC | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3415410 | — | NC |
| 05 | — | 341600U | — | NC |