Provider Demographics
NPI:1427342419
Name:SPRING ARBOR WEST
Entity type:Organization
Organization Name:SPRING ARBOR WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:HOUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:ACH ADMINISTRATOR
Authorized Official - Phone:828-697-7800
Mailing Address - Street 1:1825 PISGAH DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3760
Mailing Address - Country:US
Mailing Address - Phone:828-697-7800
Mailing Address - Fax:828-697-9797
Practice Address - Street 1:1825 PISGAH DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3760
Practice Address - Country:US
Practice Address - Phone:828-697-7800
Practice Address - Fax:828-697-9797
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HHHUNT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-045-092310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility