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Mountainlife Home Care, Inc.
Home Health Agency in Jefferson, North Carolina
NPI 1619972213

Mountainlife Home Care, Inc. is a Home Health Agency based in West Jefferson, NC. Mountainlife Home Care, Inc. practices in Jefferson, NC. The NPI Number for Mountainlife Home Care, Inc. is 1619972213 and holds a License No. HC2576 (North Carolina).

The current practice location address for Mountainlife Home Care, Inc. is 411 S Main St, Jefferson, NC and can be reached out via phone at 336-846-1784 and via fax at 336-846-1785.

Location: 411 S Main St, Jefferson, NC, 28694-1784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619972213
Provider Name
Mountainlife Home Care, Inc.
Credential
Provider Entity Type
Organization
Address
411 S Main St, Jefferson, NC, 28694-1784
Phone Number
336-846-1784
Fax Number
336-846-1785
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0719745 01 NC NC CORPORATE ID NUMBER
040720 01 NC NC DHHS DFS FACILITY ID
6601120 05 NC
3408136 05 NC
institution
Provider Business Practice Location Address Details
Address
411 S Main St
City
Jefferson
State
North Carolina
Zip
28640-9519
Phone Number
336-846-1784
Fax Number
336-846-1785
person
Provider Business Mailing Address Details
Address
411 S Main St
City
Jefferson
State
North Carolina
Zip
28640-9519
Phone Number
336-846-1784
Fax Number
336-846-1785
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HC2576 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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