Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareGRACESON MANOR
Assisted Living Facility
Reidsville, North Carolina
Provider NPI: 1104936103
Organization Information:Organization Name: GRACESON MANOR
Practice Location:
116 GWYNN DR REIDSVILLE, NC 27320 US
Tel: 336-349-2806 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
116 GWYNN DR REIDSVILLE, NC 27320 US
Tel: 336-349-2806 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NC | FCL-079-054 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| EDS NUMBER | 7805575 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin