Organization · Type 2 NPI

Smith Street Village Family Care Home, LLC

Adult Care Home Facility · Leicester, NC

NPI number 1174906846 Active

Practice location

235 Country Time Circle
Leicester, NC 28748-6213

Call (828) 676-5600 Map

Mailing address

PO Box 889
Mountain Home, NC 28758-0889

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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

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About NPI 1174906846

Smith Street Village Family Care Home, LLC's National Provider Identifier is 1174906846, issued on Jun 30, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Leicester, NC. The record was last updated on Jul 10, 2015.