Bradford Village Of Kernersville West, Llc

NPI 1336224021 - Assisted Living Facility - 310400000X

NPI Details
NPI 1336224021
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RONALD F RONALD
Position MANAGING MEMBER
Phone (336) 993-8711
Fax
Practice Location
602 PINEY GROVE RD
KERNERSVILLE NC, 27284-2333, US
Phone (336) 993-8711
Fax
Business Location
PO BOX 1487
KERNERSVILLE NC, 27285-1487, US
Phone (336) 595-1075
Fax
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number HAL-034-069
Remove 1336224021 NPI Number
 

According to our database, Bradford Village Of Kernersville West, Llc NPI is 1336224021, taxonomy code is 310400000X and license number is HAL-034-069, license state is located at North Carolina. Bradford Village Of Kernersville West, Llc physically located at 602 Piney Grove Rd, Kernersville NC, 27284-2333. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1336224021 NPI number is provided on an as is basis without warranty of any kind. 1336224021 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford Village Of Kernersville West, Llc are for informational purposes only.