Healthcare Provider Details

I. General information

NPI: 1740326875
Provider Name (Legal Business Name): MOUNTAIN AREA RESIDENTIAL FACILITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SAINT DUNSTANS CIR
ASHEVILLE NC
28803
US

IV. Provider business mailing address

P.O. BOX 5514
ASHEVILLE NC
28813
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-1799
  • Fax:
Mailing address:
  • Phone: 828-299-3636
  • Fax: 828-299-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License NumberMHL-011-222
License Number StateNC

VIII. Authorized Official

Name: AMBER LOCKLEAR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 828-299-3636