# MTN TRACE NURSING CENTER

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

## Provider details

- **NPI number:** 1710087143
- **Authorized official:** WANDA ARNETT (CONTROLLER)
- **Authorized official phone:** (828) 586-7195

## Contact information

- **Practice address:** 87 EASTGATE DR, SYLVA, NC 28779-5171
- **Practice address phone:** (828) 586-1975
- **Mailing address:** 417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
- **Mailing address phone:** (828) 631-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H0087 | NC | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3405302 | — | NC |
| 05 | — | 3406484 | — | NC |
| 01 | — | BC NC | BC NC | NC |