Provider Demographics
NPI:1952537383
Name:ADULT CARE SPECIALIST, INC.
Entity Type:Organization
Organization Name:ADULT CARE SPECIALIST, INC.
Other - Org Name:CANDLER LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WITTNER
Authorized Official - Middle Name:E
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-216-7475
Mailing Address - Street 1:PO BOX 819
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-0819
Mailing Address - Country:US
Mailing Address - Phone:828-667-4987
Mailing Address - Fax:828-670-8894
Practice Address - Street 1:136 ROBINSON COVE RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9490
Practice Address - Country:US
Practice Address - Phone:828-667-4453
Practice Address - Fax:828-667-4296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-011-285311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home