Organization · Type 2 NPI
Ncal- Mockville, Inc.
Adult Care Home Facility · Mocksville, NC
NPI number
1114082419
Active
Practice location
150 Ken Dwiggins Dr
Mocksville, NC 27028-2439
Fax (336) 751-0601
Mailing address
1105 Brookstown Ave
Winston Salem, NC 27101-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | HAL-030-004 (NC) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2 other providers at this address
Other adult care home facility providers in Mocksville
- The Heritage of Cedar RockAdult Care Home Facility Mocksville, NC NPI 1265608467
- JFC Meridian Opco-MocksvilleAdult Care Home Facility Mocksville, NC NPI 1649654773
- Mocksville Opco, LLCAdult Care Home Facility Mocksville, NC NPI 1811421456
- PS Senior Living of Mocksville LLCAdult Care Home Facility Mocksville, NC NPI 1952986044
About NPI 1114082419
Ncal- Mockville, Inc.'s National Provider Identifier is 1114082419, issued on Dec 27, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Mocksville, NC. The record was last updated on Nov 8, 2013.