Wolfe & Jackson Family Care Home

NPI 1023272663 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1023272663
Enumeration Date 07/14/2008
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ZELMA JACKSON ZELMA
Position ADMINISTRATOR
Phone (336) 661-9032
Fax
Practice Location
3913 INDIANA AVE
WINSTON SALEM NC, 27105-3410, US
Phone (336) 661-9032
Fax
Business Location
PO BOX 12002
WINSTON SALEM NC, 27117-2002, US
Phone (336) 722-8354
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Wolfe & Jackson Family Care Home NPI is 1023272663, taxonomy code is 320600000X Wolfe & Jackson Family Care Home physically located at 3913 Indiana Ave, Winston Salem NC, 27105-3410. NPI Number 1033115704 has the healthcare provider type.

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1023272663 NPI number is provided on an as is basis without warranty of any kind. 1023272663 is maintained by the National Plan & Provider Enumeration System. The contents of Wolfe & Jackson Family Care Home are for informational purposes only.