# BRYSON CITY LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366624504
- **Authorized official:** KENNETH R HODGES ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (828) 738-3046

## Contact information

- **Practice address:** 314 HUGHES BRANCH ROAD, BRYSON CITY, NC 28713
- **Practice address phone:** (828) 488-2780
- **Practice address fax:** (828) 488-5961
- **Mailing address:** 314 HUGHES BRANCH ROAD, BRYSON CITY, NC 28713
- **Mailing address phone:** (828) 488-2780
- **Mailing address fax:** (828) 488-5961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL 087 003 | NC | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HAL 087 003 | LICENSE | NC |