Organization
MOUNTAIN CARE FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GRAGG (ADMINISTRATOR)
(828) 264-3744
Entity
Organization
Contact information
Practice address
183 GRAGGVILLE RD, BOONE, NC 28607
(828) 264-3744
Mailing address
PO BOX 1040, BOONE, NC 28607-1040
(828) 264-3744
(828) 264-7945
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-095-002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801643
—
NC
Enumeration date
03/12/2007
Last updated
08/22/2020
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