Provider Demographics
NPI:1427102797
Name:MITCHELL COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity type:Organization
Organization Name:MITCHELL COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-688-2175
Mailing Address - Street 1:347 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28705-9600
Mailing Address - Country:US
Mailing Address - Phone:828-688-2175
Mailing Address - Fax:828-688-4940
Practice Address - Street 1:347 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:BAKERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28705-9600
Practice Address - Country:US
Practice Address - Phone:828-688-2175
Practice Address - Fax:828-688-4940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0684251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare