Organization
MOUNTAIN AREA RESIDENTIAL FACILITIES, INC.
Active
Other names
St. Dunstan Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LOCKLEAR (EXECUTIVE DIRECTOR)
(828) 299-3636
Entity
Organization
Contact information
Practice address
46 SAINT DUNSTANS CIR, ASHEVILLE, NC 28803
(828) 254-1799
Mailing address
PO BOX 5514, ASHEVILLE, NC 28813-5514
(828) 299-3636
(828) 299-3302
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-011-222
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408922
—
NC
Enumeration date
01/29/2007
Last updated
08/16/2018
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