# PARAMOUNT OF CLEMMONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paramount of Clemmons Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518904861
- **Authorized official:** MICHAEL PAUL TURNER (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (502) 253-9046

## Contact information

- **Practice address:** 3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
- **Practice address phone:** (336) 766-9158
- **Mailing address:** 3905 CLEMMONS RD, CLEMMONS, NC 27012-8479
- **Mailing address phone:** (336) 766-9158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 03-54-088 | NC | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3425131 | — | NC |