Organization
SUMMIT SUPPORT SERVICES OF ASHE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARI ANDERSON ROGNSTAD (EXECUTIVE DIRECTOR)
(336) 846-4491
Entity
Organization
Contact information
Practice address
406 COURT STREET, JEFFERSON, NC 28640
(336) 846-3456
(336) 846-6457
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
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-005-018
NC
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
08/19/2015
Last updated
12/16/2020
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