MR. ROMULUS THURMAN WATLINGTON

Adult Care Home

Greensboro, North Carolina

Provider NPI: 1063618643

Provider Information:
MR. ROMULUS THURMAN WATLINGTON 


Practice Location:
1801 BRITTON ST  GREENSBORO, NC 27406 US
Tel: 336-254-9662  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	311ZA0620X	Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home	NC	FCL-041-026

Other Provider Identifiers:

Issuer	Number	State	Type
	7801734	NC	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin