Organization
LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LINDSEY BELL COTA/L (OTA)
(828) 729-2457
Entity
Organization
Contact information
Practice address
903 W MAIN STREET, YADKINVILLE, NC 27055
(336) 677-1345
Mailing address
1222 NC HIGHWAY 801 N, ADVANCE, NC 27006-6757
(828) 729-2457
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
4645
NC
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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