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Organization
SOUTHEASTERN HEALTH FACILITIES
Active
Organization
SOUTHEASTERN HEALTH FACILITIES
Active
Other names
MOUNTAIN VIEW MANOR NSG. CTR.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD V. SMITH NHA (ADMINISTRATOR)
(828) 488-2101
Entity
Organization
Contact information
Practice address
410 BUCKNER BRANCH RD, BRYSON CITY, NC 28713-6665
(828) 488-2101
(828) 488-8502
Mailing address
410 BUCKNER BRANCH RD, BRYSON CITY, NC 28713-6665
(828) 488-2101
(828) 488-8502
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00884
BLUE CROSS & BLUE SHIELD
NC
05
—
3405193
—
NC
Enumeration date
09/20/2005
Last updated
08/22/2020
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