# HEALTHTIQUE WINSTON SALEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Winston Salem Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356617419
- **Authorized official:** MR. MICHAEL T. JONES (MANAGER)
- **Authorized official phone:** (770) 630-0900

## Contact information

- **Practice address:** 1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
- **Practice address phone:** (336) 724-2821
- **Practice address fax:** (336) 725-8314
- **Mailing address:** 46 3RD ST NW, HICKORY, NC 28601-6135
- **Mailing address phone:** (828) 322-8171
- **Mailing address fax:** (828) 322-3704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2012
- **Last updated:** 09/21/2012