# MARY L CONNOR

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

## Provider details

- **NPI number:** 1447375803
- **Authorized official:** MRS. MARY LOU CONNOR (OWNER-ADMINISTRATOR)
- **Authorized official phone:** (828) 254-0203

## Contact information

- **Practice address:** 290 DEAVERVIEW RD, ASHEVILLE, NC 28806-1311
- **Practice address phone:** (828) 254-0203
- **Practice address fax:** (828) 350-8615
- **Mailing address:** 290 DEAVERVIEW RD, ASHEVILLE, NC 28806-1311
- **Mailing address phone:** (828) 254-0203
- **Mailing address fax:** (828) 350-8615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-011-026 | NC | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801407 | — | NC |