Organization
SUMMIT SUPPORT SERVICES OF ASHE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARI ANDERSON ROGNSTAD (EXECUTIVE DIRECTOR)
(336) 846-4491
Entity
Organization
Contact information
Practice address
342 LONG ST, JEFFERSON, NC 28640-9789
(336) 846-4491
(336) 846-4927
Mailing address
PO BOX 381, JEFFERSON, NC 28640-0381
(336) 846-4491
(336) 846-4927
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804402
—
NC
Enumeration date
01/03/2008
Last updated
11/20/2017
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