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Organization
NOA HUMAN SERVICES LLC 4
Active
Organization
NOA HUMAN SERVICES LLC 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENA E IKWECHEGH (PRESIDENT)
(336) 287-3241
Entity
Organization
Contact information
Practice address
4328 STOKESDALE AVE, WINSTON SALEM, NC 27101-2340
(336) 287-3241
Mailing address
PO BOX 17002, WINSTON SALEM, NC 27116-7002
(336) 287-3241
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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