Provider Demographics
NPI:1497872287
Name:MOUNTAIN AREA ENTERPRISES INC
Entity Type:Organization
Organization Name:MOUNTAIN AREA ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-667-8887
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-0910
Mailing Address - Country:US
Mailing Address - Phone:828-665-1021
Mailing Address - Fax:828-665-1071
Practice Address - Street 1:120 MILK SICK COVE RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9597
Practice Address - Country:US
Practice Address - Phone:828-665-1021
Practice Address - Fax:828-665-1071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-011-211310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7803387OtherPROVIDER