Healthcare Provider Details

I. General information

NPI: 1649714767
Provider Name (Legal Business Name): MOUNTAIN VIEW FHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 12/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4874 RIFLE RANGE RD
CONOVER NC
28613-8727
US

IV. Provider business mailing address

5276 0LDE SCHOOL DR
HICKORY NC
28602
US

V. Phone/Fax

Practice location:
  • Phone: 828-294-3894
  • Fax: 828-294-3894
Mailing address:
  • Phone: 828-294-3894
  • Fax: 828-294-3894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANCISCA BLANCO
Title or Position: ADMINISTRATOR
Credential:
Phone: 828-294-3894