Forsyth Village

NPI 1801952643 - Assisted Living Facility - 310400000X

NPI Details
NPI 1801952643
Enumeration Date 12/28/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JERRY JERRY
Position OWNER
Phone (336) 661-0850
Fax (336) 661-0945
Practice Location
5100 LANSING DR
WINSTON SALEM NC, 27105-3115, US
Phone (336) 661-0850
Fax (336) 661-0945
Business Location
PO BOX 11525
WINSTON SALEM NC, 27116-1525, US
Phone (336) 661-0850
Fax (336) 661-0945
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number HAL-034-002
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According to our database, Forsyth Village NPI is 1801952643, taxonomy code is 310400000X and license number is HAL-034-002, license state is located at North Carolina. Forsyth Village physically located at 5100 Lansing Dr, Winston Salem NC, 27105-3115. NPI Number 1033115704 has the healthcare provider type.

1801952643 NPI number is provided on an as is basis without warranty of any kind. 1801952643 is maintained by the National Plan & Provider Enumeration System. The contents of Forsyth Village are for informational purposes only.