Provider Demographics
NPI:1427363340
Name:NUTZ R US
Entity Type:Organization
Organization Name:NUTZ R US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FORRESTENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCKELVENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-273-6931
Mailing Address - Street 1:356 OLD COUNTY HOME RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9492
Mailing Address - Country:US
Mailing Address - Phone:828-273-6931
Mailing Address - Fax:828-505-4439
Practice Address - Street 1:232 COUNTRY TIME LN
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:NC
Practice Address - Zip Code:28748-6213
Practice Address - Country:US
Practice Address - Phone:828-273-6931
Practice Address - Fax:828-505-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL 011 301310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility