Organization
CANDLER LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R HODGES (OWNER OPERATOR)
(828) 738-3046
Entity
Organization
Contact information
Practice address
136 ROBINSON COVE ROAD, CANDLER, NC 28715
(828) 738-3046
(828) 738-0350
Mailing address
495 ZION HILL RD, MARION, NC 28752-6304
(828) 738-3046
(828) 738-0350
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL 011 250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAL 011 250
LICENSE
NC
Enumeration date
07/02/2007
Last updated
08/22/2020
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