Provider Demographics
NPI:1477791952
Name:ZION HILL LIVING CENTER
Entity Type:Organization
Organization Name:ZION HILL LIVING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MAMAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-738-3046
Mailing Address - Street 1:561 ZION HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-6306
Mailing Address - Country:US
Mailing Address - Phone:828-738-4310
Mailing Address - Fax:828-738-0350
Practice Address - Street 1:561 ZION HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-6306
Practice Address - Country:US
Practice Address - Phone:828-738-4310
Practice Address - Fax:828-738-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL059011311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFCL059011OtherLICENSE