# WEST FIRST STREET OPERATING COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Valley Center for Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114791571
- **Authorized official:** YOSEF EMANUEL (MEMBER)
- **Authorized official phone:** (917) 745-7945

## Contact information

- **Practice address:** 1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
- **Practice address phone:** (336) 724-2821
- **Mailing address:** 1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
- **Mailing address phone:** (336) 724-2821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 11/07/2023