Organization
LISA'S FAMILY CARE HOME LLC.
Active
Organization
LISA'S FAMILY CARE HOME LLC.
Active
Other names
Comfort Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG WILLIAM DINOVETSKIY (ADMINISTRATOR)
(828) 447-5523
Entity
Organization
Contact information
Practice address
542 FOREST LAKE RD, FOREST CITY, NC 28043-5112
(828) 447-5523
(828) 286-1427
Mailing address
358 SHADY WOODS LN, RUTHERFORDTON, NC 28139-2768
(828) 447-5523
(828) 286-1427
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920394
—
NC
Enumeration date
12/05/2006
Last updated
03/20/2019
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