Mr. Estella Joann Spann
Mr. Estella Joann Spann is an Assisted Living Facility (Mental Illness) in Blanch, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and New Mexico.
- Licensed in
- NC, NM
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
1136 Bertha Wilson RdBlanch, NC 27212-9795
Phone: (336) 694-1878
Fax: (336) 694-1878
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 017058 (NC) |
|---|---|
| Assisted Living Facility (Mental Illness) | Taxonomy 3104A0625X · Licence 017058 (NM) |
| Assisted Living Facility (Behavioral Disturbances) | Taxonomy 3104A0630X · Licence 017058 (NC) |
| Mental Illness Intermediate Care Facility | Taxonomy 310500000X · Licence 017058 (NC) |
Record details
| NPI number | 1639823784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2022 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | February 8, 2022 |