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Organization
MOUNTAIN TRACE NURSING ADK, LLC
Active
Organization
MOUNTAIN TRACE NURSING ADK, LLC
Active
Other names
Mountain Trace Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GROEBER (VICE PRESIDENT/MIS)
(937) 964-8974
Entity
Organization
Contact information
Practice address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1648
Mailing address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1648
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415302
—
NC
Enumeration date
01/04/2011
Last updated
01/28/2011
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