Organization
SMITH STREET VILLAGE FAMILY CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS BRUCE STREET BSN, RN (OWNER/PRESIDENT)
(828) 676-5600
Entity
Organization
Contact information
Practice address
94 MILLBROOK RD, ASHEVILLE, NC 28806-4617
(828) 676-5600
Mailing address
PO BOX 889, MOUNTAIN HOME, NC 28758-0889
(828) 676-5600
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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