Organization
NUTZ R US
Active
Organization
NUTZ R US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORRESTENE MUCKELVENE (OWNER)
(828) 273-6931
Entity
Organization
Contact information
Practice address
356 OLD COUNTY HOME RD, ASHEVILLE, NC 28806-9492
(828) 273-6931
(828) 505-4439
Mailing address
356 OLD COUNTY HOME RD, ASHEVILLE, NC 28806-9492
(828) 273-6931
(828) 505-4439
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
FCL-011-297
NC
261QM0850X
Adult Mental Health Clinic/Center
Primary
FCL-011-298
NC
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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