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Organization
CHARLES HINES & SON, INC
Active
Organization
CHARLES HINES & SON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A HINES III (PRESIDENT)
(336) 896-0950
Entity
Organization
Contact information
Practice address
710 COLISEUM DR, WINSTON SALEM, NC 27106-5354
(336) 896-0950
(336) 896-0955
Mailing address
710 COLISEUM DR STE 100, WINSTON SALEM, NC 27106-5362
(336) 896-0950
(336) 896-0955
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408751
—
NC
Enumeration date
01/22/2007
Last updated
12/17/2019
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