34D2021596 CLIA NUMBER - MORNINGSTAR ASSISTED LIVING OF JACKSON LLC

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Laboratory Demographics

CLIA Number: 34D2021596

Facility Name: MORNINGSTAR ASSISTED LIVING OF JACKSON LLC

Facility Address:
95 MORNINGSTAR LANE
SYLVA, NC
ZIP 28779
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Facility Phone Number: 828 586-4002

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1104958388

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	34D2021596
LAB Type	Assisted Living Facility
Facility Name	MORNINGSTAR ASSISTED LIVING OF JACKSON LLC
Street	95 MORNINGSTAR LANE
City	SYLVA
State	NC
ZIP	28779
Phone	828 586-4002
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024