# WINSTON SALEM HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACE HEALTHCARE OF WINSTON SALEM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417137340
- **Authorized official:** MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
- **Authorized official phone:** (423) 308-1845

## 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:** 1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
- **Mailing address phone:** (336) 724-2821
- **Mailing address fax:** (336) 725-8314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 923570 | NC | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 06/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0345092 | — | NC |
| 05 | — | 3416540 | — | NC |