417 Mountain Trace LLC
Organization Active NPI Skilled Nursing Facility · Sylva, NC
NPI 1760639199 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1760639199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 417 MOUNTAIN TRACE LLC
- Practice address
- 417 Mountain Trace Rd
Sylva, NC 28779-6779 - Phone
- (828) 631-1600
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Abraham N/a Shaulson, N/A
- Title
- President
- Phone
- (305) 864-9191
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
417 Mountain Trace Rd
Sylva, NC 28779-6779
Mailing address
417 Mountain Trace Rd
Sylva, NC 28779-6779
Phone (828) 631-1600
Other names
- Mountain Trace Nursing Center
Other providers in Sylva, NC
- A First Step Counseling Center, Inc.
- Gwen Messer Abdulhafid
- Alexis Abney
- Faisal M Adam
- Maqbool Ahmed Adam
All providers in Sylva, NC · Skilled Nursing Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.