MEDICARE: YELTONS FAMILY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437295912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YELTONS FAMILY CARE

Provider Business Mailing Address
First Line	:	PO BOX 65
Second Line	:
City	:	SPINDALE
State	:	NC
Zip	:	28160-0065
Country	:	US
Telephone Number	:	704-538-3648
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 WHITESIDES RD
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-7619
Country	:	US
Telephone Number	:	704-538-3648
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMIE YELTON
Credential	:
Telephone Number	:	704-477-4247

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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Directions to “YELTONS FAMILY CARE ” Practice Location

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