Organization · Type 2 NPI
Country Time Inn LLC
Adult Care Home Facility · Kings Mountain, NC
NPI number
1538155643
Active
Practice location
602 Brevard St
Kings Mountain, NC 28086-8692
Fax (704) 739-6252
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | HAL036018 (NC) |
| Adult Care Home Facility Primary | 311ZA0620X | None 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.
Another provider at this address
Other adult care home facility providers in Kings Mountain
About NPI 1538155643
Country Time Inn LLC's National Provider Identifier is 1538155643, issued on Sep 23, 2005. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kings Mountain, NC. The record was last updated on Jul 28, 2021.