Organization
SUMMIT SUPPORT SERVICES OF ASHE, INC.
Active
Organization
SUMMIT SUPPORT SERVICES OF ASHE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI ANDERSON ROGNSTAD (EXECUTIVE DIRECTOR)
(336) 846-4491
Entity
Organization
Contact information
Practice address
120 ASHE ST, JEFFERSON, NC 28640-9789
(336) 846-4491
(336) 846-4927
Mailing address
PO BOX 381, JEFFERSON, NC 28640-0381
(336) 846-4491
(336) 846-4927
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-005-019
NC
333300000X
Emergency Response System Companies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804403
—
NC
Enumeration date
01/03/2008
Last updated
11/20/2017
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