# WESTDALE MANOR, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westdale Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346361094
- **Authorized official:** AMMA ALLEN (ADMINISTRATOR)
- **Authorized official phone:** (336) 558-8411

## Contact information

- **Practice address:** 303 WESTDALE PL, GREENSBORO, NC 27403-1473
- **Practice address phone:** (336) 273-7912
- **Mailing address:** PO BOX 21693, GREENSBORO, NC 27420-1693
- **Mailing address phone:** (336) 273-7912
- **Mailing address fax:** (336) 275-5696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-041-027 | NC | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 09/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7801986 | — | NC |