Organization
PERSON CENTERED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY RENAE SMITH M.P.A. (OWNER/PRESIDENT)
(828) 252-3496
Entity
Organization
Contact information
Practice address
205 OLD HIGHWAY 20, ALEXANDER, NC 28701-9114
(828) 252-3496
(828) 258-1079
Mailing address
205 OLD HIGHWAY 20, ALEXANDER, NC 28701-9114
(828) 252-3496
(828) 258-1079
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3409482
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409482
—
NC
Enumeration date
06/11/2006
Last updated
08/22/2020
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