Organization
BMMGHOPGH INC
Active
Other names
Burkemont Mountain Men Group home and Our Place Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA CARPENTER DONNELL (PRESIDENT)
(828) 439-8041
Entity
Organization
Contact information
Practice address
6883 BURKEMONT RD, 401 DREXEL ROAD, MORGANTON, NC 28655-7673
(828) 439-8041
(828) 439-8041
Mailing address
6883 BURKEMONT RD, 401 DREXEL ROAD, MORGANTON, NC 28655-7673
(828) 439-8041
(828) 439-8041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL012091
NC
310400000X
Assisted Living Facility
MHL012118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804927
—
NC
Enumeration date
07/14/2015
Last updated
07/14/2015
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