Organization
CHAPPELL VALLEY COTTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRYSTAL HULLENDER (OWNER/ADMINISTRATOR)
(828) 648-3790
Entity
Organization
Contact information
Practice address
460 BEAVERDAM ST, CANTON, NC 28716-3350
(828) 648-3790
(828) 492-0127
Mailing address
460 BEAVERDAM ST, CANTON, NC 28716-3350
(828) 648-3790
(828) 492-0127
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-044-038
NC
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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