Organization
CHRISMAN ADULT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA L CHRISMAN III (PRESIDENT)
(828) 286-4887
Entity
Organization
Contact information
Practice address
1366 COOPERS GAP RD, RUTHERFORDTON, NC 28139-8661
(828) 286-4887
(828) 288-0398
Mailing address
1366 COOPERS GAP RD, RUTHERFORDTON, NC 28139-8661
(828) 286-4887
(828) 288-0398
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
27G5600C
NC
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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