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Organization
SUMMIT SUPPORT SERVICES OF ASHE INC.
Active
Organization
SUMMIT SUPPORT SERVICES OF ASHE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARI A ROGNSTAD QP (EXECUTIVE DIRECTOR)
(336) 846-4491
Entity
Organization
Contact information
Practice address
406 COURT STREET, JEFFERSON, NC 28640-0381
(336) 846-3456
(336) 846-4927
Mailing address
PO BOX 381, JEFFERSON, NC 28640-0381
(336) 846-4491
(336) 846-4927
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL005019
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL005020
NC
333300000X
Emergency Response System Companies
—
NULL
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
08/17/2006
Last updated
09/16/2020
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