# INTEGRITY - PATRIOT LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot Living of Yadkinville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215440813
- **Authorized official:** JONATHAN S SHORT (CFO)
- **Authorized official phone:** (336) 438-1381

## Contact information

- **Practice address:** 409 HARRISON AVE, YADKINVILLE, NC 27055-8248
- **Practice address phone:** (336) 677-1086
- **Mailing address:** 4900 KOGER BLVD STE 150, GREENSBORO, NC 27407-2738
- **Mailing address phone:** (336) 438-1383
- **Mailing address fax:** (336) 438-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2017
- **Last updated:** 11/18/2021
