# PENLEY BOARDING HOME

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

## Provider details

- **NPI number:** 1700901063
- **Authorized official:** MR. WELDON F PENLEY SR (CO-ADMINISTRATOR)
- **Authorized official phone:** (828) 298-7632

## Contact information

- **Practice address:** 17 ACE DR, ASHEVILLE, NC 28803-7100
- **Practice address phone:** (828) 298-7632
- **Mailing address:** 17 ACE DR, ASHEVILLE, NC 28803-7100
- **Mailing address phone:** (828) 298-7632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-011-034 | NC | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 78-02411 | — | NC |