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Organization
CINNAMON RIDGE
Active
Organization
CINNAMON RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACE JENKINS (DIRECTOR)
(336) 855-5913
Entity
Organization
Contact information
Practice address
3211 GROOMETOWN RD, GREENSBORO, NC 27407-6517
(336) 855-5913
Mailing address
3211 GROOMETOWN RD, GREENSBORO, NC 27407-6517
(336) 855-5913
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-041-038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803957
—
NC
Enumeration date
04/17/2007
Last updated
08/22/2020
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