institution
Ncal- Mockville, Inc.
Adult Care Home Facility in Mocksville, North Carolina
NPI 1114082419

Ncal- Mockville, Inc. is an Adult Care Home Facility based in Winston Salem, NC and is specialized in Adult Care Home. Ncal- Mockville, Inc. practices in Mocksville, NC. The NPI Number for Ncal- Mockville, Inc. is 1114082419 and holds a License No. HAL-030-004 (North Carolina).

The current practice location address for Ncal- Mockville, Inc. is 150 Ken Dwiggins Dr, Mocksville, NC and can be reached out via phone at 336-751-1209 and via fax at 336-751-0601.

Location: 150 Ken Dwiggins Dr, Mocksville, NC, 27101-2524
institution
Provider Profile Details
NPI Number
1114082419
Provider Name
Ncal- Mockville, Inc.
Credential
Provider Entity Type
Organization
Address
150 Ken Dwiggins Dr, Mocksville, NC, 27101-2524
Phone Number
336-751-1209
Fax Number
336-751-0601
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805398 05 NC
institution
Provider Business Practice Location Address Details
Address
150 Ken Dwiggins Dr
City
State
Zip
27028-2439
Phone Number
336-751-1209
Fax Number
336-751-0601
person
Provider Business Mailing Address Details
Address
150 Ken Dwiggins Dr
City
State
Zip
27028-2439
Phone Number
336-751-1209
Fax Number
336-751-0601
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
HAL-030-004 (North Carolina)
Definition
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.
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