Organization
MOUNTAIN TRACE NURSING ADK, LLC
Active
Other names
Mountain Trace Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GROEBER (VICE PRESIDENT/MIS)
(937) 964-8974
Entity
Organization
Contact information
Practice address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1648
Mailing address
417 MOUNTAIN TRACE RD, SYLVA, NC 28779-6779
(828) 631-1600
(828) 631-1648
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415302
—
NC
Enumeration date
01/04/2011
Last updated
01/28/2011
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