NPI 1013113646
Clay County
Practice location
- Address
- 119 Courthouse Dr, Hayesville, NC 28904-4968
- Phone
- (828) 389-6301
- Fax
- (828) 389-6427
- Mailing address
- PO Box 147, Hayesville, NC 28904-0147
Authorised official
- Name
- Revonda Moss
- Title
- Administrator Officer
- Phone
- (828) 389-6301
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1013113646
- Entity type
- Organization
- NPI issued
- 21 Jun 2007
- Record last updated
- 10 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.