Individual
MRS. CAROLYN S MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 ENOLA RD, MORGANTON, NC 28655-7376
(828) 437-8700
(828) 437-8700
Mailing address
2704 ENOLA RD, MORGANTON, NC 28655-7376
(828) 437-8700
(828) 437-8700
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-012-015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802102
—
NC
Enumeration date
03/20/2007
Last updated
07/09/2007
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