Organization
MOUNTAIN AREA RESIDENTIAL FACILITIES, INC.
Active
Other names
Chiles Avenue Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LOCKLEAR (EXECUTIVE DIRECTOR)
(828) 299-3636
Entity
Organization
Contact information
Practice address
22 CHILES AVE, ASHEVILLE, NC 28803
(828) 254-8068
(828) 299-3302
Mailing address
PO BOX 5514, ASHEVILLE, NC 28813
(828) 299-3636
(828) 299-3302
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
MHL-011-024
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406410
—
NC
Enumeration date
01/02/2007
Last updated
08/16/2018
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