Provider Demographics
NPI:1619047123
Name:MCDOWELL ASSISTED LIVING,LLC
Entity Type:Organization
Organization Name:MCDOWELL ASSISTED LIVING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ISAACS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-652-3033
Mailing Address - Street 1:PO BOX 909
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-0909
Mailing Address - Country:US
Mailing Address - Phone:828-652-3033
Mailing Address - Fax:828-659-8649
Practice Address - Street 1:5235 NC 226 S
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-8733
Practice Address - Country:US
Practice Address - Phone:828-652-3033
Practice Address - Fax:828-659-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-059-017310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804171Medicaid