Provider Demographics
NPI:1457491680
Name:TRANSYLVANIA ASSOCIATION FOR DISABLED CITIZENS, INC.
Entity Type:Organization
Organization Name:TRANSYLVANIA ASSOCIATION FOR DISABLED CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-883-2980
Mailing Address - Street 1:830 PROBART STREET EXT
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-9601
Mailing Address - Country:US
Mailing Address - Phone:828-883-2980
Mailing Address - Fax:828-883-3188
Practice Address - Street 1:830 PROBART STREET EXT
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-9601
Practice Address - Country:US
Practice Address - Phone:828-883-2980
Practice Address - Fax:828-883-3188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-088-009320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804406Medicaid