Organization
PENLEY BOARDING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WELDON F PENLEY SR (CO-ADMINISTRATOR)
(828) 298-7632
Entity
Organization
Contact information
Practice address
17 ACE DR, ASHEVILLE, NC 28803-7100
(828) 298-7632
Mailing address
17 ACE DR, ASHEVILLE, NC 28803-7100
(828) 298-7632
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-011-034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78-02411
—
NC
Enumeration date
03/19/2007
Last updated
06/23/2008
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