Organization
UNION MILLE LIVING CENTER #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HODGES (PRESIDENT)
(828) 738-3046
Entity
Organization
Contact information
Practice address
6474 HUDLOW ROAD, UNION MILLS, NC 28167-9551
(828) 286-3702
Mailing address
6474 HUDLOW ROAD, UNION MILLS, NC 28167-9551
(828) 286-3702
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL081034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803131
—
NC
Enumeration date
03/06/2007
Last updated
08/22/2020
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