Organization
GOWAN GROUP CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY MORRIS GOWAN (PRESIDENT)
(828) 652-8755
Entity
Organization
Contact information
Practice address
571 E COURT ST, MARION, NC 28752-3516
(828) 652-8755
Mailing address
571 E COURT ST, MARION, NC 28752-3516
(828) 652-8755
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL059021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805502
—
NC
Enumeration date
03/28/2007
Last updated
08/22/2020
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