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Organization

DANNY TUTTLE, INC.

Active
Other names
Mountain Valley Living Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIE F HODGE (ACCOUNTS RECEIVABLE)
(336) 853-7670
Entity
Organization

Contact information

Practice address
1135 TAYLOR RD, WESTFIELD, NC 27053-7437
(336) 994-2120
(336) 994-2023
Mailing address
1025 LAMB RD, LEXINGTON, NC 27295-5229
(336) 853-7670
(336) 853-7671

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-085-003
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7801516
NC
Enumeration date
06/18/2007
Last updated
05/21/2009
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