Individual provider · Type 1 NPI
Estella Joann Spann
Assisted Living Facility · Blanch, NC
NPI number
1639823784
Active
Practice location
1136 Bertha Wilson Rd
Blanch, NC 27212-9795
Fax (336) 694-1878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | 017058 (NM) |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 017058 (NC) |
| Mental Illness Intermediate Care Facility | 310500000X | 017058 (NC) |
| Assisted Living Facility Primary | 310400000X | 017058 (NC) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
Other assisted living facility providers in Blanch
About NPI 1639823784
Estella Joann Spann's National Provider Identifier is 1639823784, issued on Feb 8, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Blanch, NC. The record was last updated on Feb 8, 2022.