| Mt. Gilead Independent Senior and Assisted Living | |
|
110 Roosevelt St Mount Gilead NC 27306-9606 | |
| (910) 439-1635 | |
| Not Available |
| Full Name | Mt. Gilead Independent Senior and Assisted Living |
|---|---|
| Speciality | Clinic/center |
| Location | 110 Roosevelt St, Mount Gilead, North Carolina |
| Authorized Official Name and Position | Mystery E Willis (CEO) |
| Authorized Official Contact | 9104391669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Gilead Independent Senior and Assisted Living Po Box 1312 Mount Gilead NC 27306-1312 Ph: (910) 439-1669 | Mt. Gilead Independent Senior and Assisted Living 110 Roosevelt St Mount Gilead NC 27306-9606 Ph: (910) 439-1635 |
| NPI Number | 1609233295 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609233295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 90368 (North Carolina) | Primary |
| 310400000X | Assisted Living Facility | 902768 (North Carolina) | Secondary |
| 347E00000X | Transportation Broker | () | Secondary |
Mohawk Hlc Mt Gilead Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Homanit Usa Rd, Mount Gilead, NC 27306 Phone: 910-639-1935 Fax: 910-469-9043 |
Mt Gilead Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Main St, Mount Gilead, NC 27306 Phone: 910-439-1573 Fax: 910-439-1773 |