Organization
GRANDFATHER HOME FOR CHILDREN - MULBERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM SWINKOLA (CEO)
(828) 898-5465
Entity
Organization
Contact information
Practice address
465 MULBERRY BRANCH ROAD, CULOWHEE, NC 28723
(828) 293-9210
(828) 293-9216
Mailing address
465 MULBERRY BRANCH ROAD, CULOWHEE, NC 28723
(828) 293-9210
(828) 293-9216
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-050-047
NC
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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