# WOLFE & JACKSON FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOLFE & JACKSON FAMILY CARE HOME
- **Other names:** w & j adult services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023272663
- **Legal business name:** WOLFE & JACKSON FAMILY CARE HOME
- **Authorized official:** MRS. ZELMA JACKSON WOLFE (ADMINISTRATOR)
- **Authorized official phone:** (336) 722-8354

## Contact information

- **Practice address:** 3913 INDIANA AVE, WINSTON SALEM, NC 27105-3410
- **Practice address phone:** (336) 661-9032
- **Mailing address:** PO BOX 12002, WINSTON SALEM, NC 27117-2002
- **Mailing address phone:** (336) 722-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 07/14/2008