# CHERRY GROVE RETREAT

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

## Provider details

- **NPI number:** 1275700502
- **Authorized official:** BEVERLY ABBOTT PEAY LPN (ADMINISTRATOR)
- **Authorized official phone:** (336) 342-4395

## Contact information

- **Practice address:** 596 NEAL RD, REIDSVILLE, NC 27320-0333
- **Practice address phone:** (336) 342-4395
- **Practice address fax:** (336) 342-2906
- **Mailing address:** 596 NEAL RD, REIDSVILLE, NC 27320-0333
- **Mailing address phone:** (336) 342-4395
- **Mailing address fax:** (336) 342-2906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-017-046 | NC | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008