Organization
TANJER HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA MCKELLER (PRESIDENT)
(828) 877-5271
Entity
Organization
Contact information
Practice address
161 E FRENCH BROAD ST, BREVARD, NC 28712-3410
(828) 884-2550
Mailing address
161 E FRENCH BROAD ST, BREVARD, NC 28712-3410
(828) 884-2550
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL 088 015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805680
—
NC
Enumeration date
03/11/2008
Last updated
03/11/2008
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