Organization
MOUNTAIN TRACE ENTERPRISE LLC
Active
Other names
Mountain Trace Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELI STROHLI (DIRECTOR)
(305) 864-9191
Entity
Organization
Contact information
Practice address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1605
Mailing address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1605
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341-5302
—
NC
05
—
341-6484
—
NC
Enumeration date
04/28/2009
Last updated
11/02/2009
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