# PRIDDY MANOR ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053745471
- **Authorized official:** MR. STEVE BAILEY (VP)
- **Authorized official phone:** (336) 993-7555

## Contact information

- **Practice address:** 1294 PRIDDY ROAD, KING, NC 27021
- **Practice address phone:** (336) 983-3068
- **Practice address fax:** (336) 995-6098
- **Mailing address:** 853 OLD WINSTON RD, SUITE 118, KERNERSVILLE, NC 27284-7143
- **Mailing address phone:** (336) 993-7555
- **Mailing address fax:** (336) 993-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL085009 | NC | Yes |

## Other

- **Enumeration date:** 08/22/2013
- **Last updated:** 08/22/2013