Organization
MTN TRACE NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA ARNETT (CONTROLLER)
(828) 586-7195
Entity
Organization
Contact information
Practice address
87 EASTGATE DR, SYLVA, NC 28779-5171
(828) 586-1975
Mailing address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H0087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405302
—
NC
05
—
3406484
—
NC
01
—
BC NC
BC NC
NC
Enumeration date
09/25/2006
Last updated
08/22/2020
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