Organization
BRYSON CITY LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R HODGES ADMINISTRATOR (ADMINISTRATOR)
(828) 738-3046
Entity
Organization
Contact information
Practice address
314 HUGHES BRANCH ROAD, BRYSON CITY, NC 28713
(828) 488-2780
(828) 488-5961
Mailing address
314 HUGHES BRANCH ROAD, BRYSON CITY, NC 28713
(828) 488-2780
(828) 488-5961
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL 087 003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAL 087 003
LICENSE
NC
Enumeration date
11/29/2007
Last updated
11/29/2007
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