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SALEM HOUSE OF WINSTON-SALEM, LLC

Assisted Living Facility

Winston-salem, North Carolina

Provider NPI: 1063408193

Organization Information:
Organization Name:  SALEM HOUSE OF WINSTON-SALEM, LLC


Practice Location:
2560 WILLARD RD  WINSTON-SALEM, NC 27107 US
Tel: 336-650-0699  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NCHAL034074

Other Provider Identifiers:

IssuerNumberStateType
7805233NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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