Organization
CCC OF MT. AIRY, INC
Active
Other names
Central Continuing Care
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TAYLO (ADMINISTRATOR)
(336) 786-2133
Entity
Organization
Contact information
Practice address
1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
(336) 786-2133
(336) 786-2014
Mailing address
1287 NEWSOME ST, MOUNT AIRY, NC 27030-5439
(336) 786-2133
(336) 786-2014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0516
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415410
—
NC
05
—
341600U
—
NC
Enumeration date
03/14/2006
Last updated
08/22/2020
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