Provider Demographics
NPI:1497050140
Name:JUST IN TIME FCH
Entity Type:Organization
Organization Name:JUST IN TIME FCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTARTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GSCHLECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-693-5179
Mailing Address - Street 1:PO BOX 564
Mailing Address - Street 2:
Mailing Address - City:EAST FLAT ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28726-0564
Mailing Address - Country:US
Mailing Address - Phone:828-693-5179
Mailing Address - Fax:828-693-5179
Practice Address - Street 1:254 KENDRICK CT
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-6754
Practice Address - Country:US
Practice Address - Phone:828-693-5179
Practice Address - Fax:828-693-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC045-111310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility