Healthcare Provider Details

I. General information

NPI: 1992864979
Provider Name (Legal Business Name): GRANDVIEW MANOR CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CRISP ST
FRANKLIN NC
28734-2500
US

IV. Provider business mailing address

PO BOX 188
FRANKLIN NC
28744-0188
US

V. Phone/Fax

Practice location:
  • Phone: 828-524-4425
  • Fax: 828-349-4162
Mailing address:
  • Phone: 828-524-4425
  • Fax: 828-349-4162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberHAL 056-001
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberHAL056001
License Number StateNC

VIII. Authorized Official

Name: MS. DEBORAH STRUM
Title or Position: ADMINISTRATOR
Credential:
Phone: 828-524-4425