Organization
MOUNTAIN HOUSE ASSISTED LIVING OF WILKESBORO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD B DODSON (PRESIDENT)
(336) 416-7149
Entity
Organization
Contact information
Practice address
176 RESTHOME RD, WILKESBORO, NC 28697-7145
(336) 973-3890
Mailing address
PO BOX 9790, ASHEVILLE, NC 28815-0790
(336) 416-7149
(336) 751-5430
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 097 009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804712
—
NC
Enumeration date
03/09/2007
Last updated
04/17/2008
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