# MARY'S ASSITED HOME LIVING

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

## Provider details

- **NPI number:** 1679794754
- **Authorized official:** MRS. MARY FEDUR (ADMINISTRATOR)
- **Authorized official phone:** (828) 461-0948

## Contact information

- **Practice address:** 4822 WEBBS CHAPEL CHURCH RD, DENVER, NC 28037-9431
- **Practice address phone:** (704) 483-5039
- **Mailing address:** 4822 WEBBS CHAPEL CHURCH RD, DENVER, NC 28037-9431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-055-010 | NC | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 07/02/2008