# JEREMIAH'S PLACE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeremiah's Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255151189
- **Authorized official:** CHEVELLE RICE (OWNER)
- **Authorized official phone:** (743) 255-2625

## Contact information

- **Practice address:** 3171 CARVER SCHOOL RD, WINSTON SALEM, NC 27105-4750
- **Practice address phone:** (743) 255-2625
- **Mailing address:** 3171 CARVER SCHOOL RD, WINSTON SALEM, NC 27105-4750
- **Mailing address phone:** (743) 255-2625

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/15/2024