Organization
PRIVETTE FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY PRIVETTE (OWNER)
(828) 259-9364
Entity
Organization
Contact information
Practice address
60 HORNOT CIR # C, ASHEVILLE, NC 28806-3949
(828) 259-9364
Mailing address
PO BOX 17594, ASHEVILLE, NC 28816-7594
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-011-106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803755
—
NC
Enumeration date
03/31/2007
Last updated
08/06/2008
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