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Organization
HOME AGAIN SENIOR LIVING COMMUNITIES, LLC
Active
Organization
HOME AGAIN SENIOR LIVING COMMUNITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNEY ROBERTSON (AGENCY DIRECTOR)
(336) 448-0567
Entity
Organization
Contact information
Practice address
1348 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2984
(336) 448-0567
Mailing address
151 LARCK CREST LN, WINSTON SALEM, NC 27107-8205
(336) 448-0567
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC5125
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH SERVICE REGULATION
NC
Enumeration date
05/10/2019
Last updated
06/07/2019
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