Healthcare Provider Details

I. General information

NPI: 1033206347
Provider Name (Legal Business Name): MOUNTAINCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 01/31/2020
Certification Date: 01/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68A SWEETEN CREEK RD
ASHEVILLE NC
28803
US

IV. Provider business mailing address

P.O BOX 5936
ASHEVILLE NC
28813
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-3399
  • Fax: 828-277-4855
Mailing address:
  • Phone: 828-277-3399
  • Fax: 828-277-4855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberH0081
License Number StateNC

VIII. Authorized Official

Name: ELIZABETH ANN WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential: EXECUTIVE DIRECTOR
Phone: 828-820-2152