Organization
SOUTHEASTERN HEALTH FACILITIES
Active
Other names
MOUNTAIN VIEW MANOR NSG. CTR.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD V. SMITH NHA (ADMINISTRATOR)
(828) 488-2101
Entity
Organization
Contact information
Practice address
410 BUCKNER BRANCH RD, BRYSON CITY, NC 28713-6665
(828) 488-2101
(828) 488-8502
Mailing address
410 BUCKNER BRANCH RD, BRYSON CITY, NC 28713-6665
(828) 488-2101
(828) 488-8502
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00884
BLUE CROSS & BLUE SHIELD
NC
05
—
3405193
—
NC
Enumeration date
09/20/2005
Last updated
08/22/2020
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