Organization
BAPTIST CAMP ROAD GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY FISHER (OWNER)
(828) 437-0807
Entity
Organization
Contact information
Practice address
4015 BAPTIST CAMP RD, CONNELLYS SPRINGS, NC 28612-8263
(828) 437-0807
Mailing address
4015 BAPTIST CAMP RD, CONNELLY SPRINGS, NC 28612-8263
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL 012-067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804822
—
NC
Enumeration date
03/31/2007
Last updated
08/22/2020
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