Organization
AUTUMN HALLS OF UNAKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY R HAYES DIRECTOR-OWNER QP BS (DIRECTOR-OWNER)
(828) 835-8103
Entity
Organization
Contact information
Practice address
14949 JOE BROWN HWY, MURPHY, NC 28906-5803
(828) 835-8103
(828) 835-8103
Mailing address
14949 JOE BROWN HWY, MURPHY, NC 28906-5803
(828) 835-8103
(828) 835-8103
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
MHL020033
NC
3747P1801X
Personal Care Attendant
MHL020034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804772
—
NC
05
—
7804784
—
NC
Enumeration date
06/09/2008
Last updated
06/09/2008
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