Organization
REALITY RESIDENTIAL BLACK MTN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WITTNER EUGENE WRIGHT (OWNER)
(828) 216-7475
Entity
Organization
Contact information
Practice address
1114 MONTREAT RD, BLACK MTN, NC 28711-3232
(828) 669-8921
(828) 669-1545
Mailing address
PO BOX 2169, CANDLER, NC 28715-2169
(828) 669-8921
(828) 669-1545
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-011-309
NC
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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