Organization
REGENCY CARE OF BLACK MOUNTAIN, LLC
Active
Other names
Mountain Ridge Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D WOMACK (MANAGING MEMBER)
(828) 381-5360
Entity
Organization
Contact information
Practice address
611 OLD US HWY 70 E, BLACK MOUNTAIN, NC 28711-9488
(828) 669-9991
(828) 669-9939
Mailing address
PO BOX 1667, HICKORY, NC 28603-1667
(828) 324-8898
(828) 322-9598
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3435048
—
NC
01
—
922973
STATE FACILITY ID
NC
01
—
NH0235
NURSING FACILITY LICENSE NUMBER
NC
Enumeration date
07/13/2005
Last updated
11/13/2024
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