# MORAVIAN HOME INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salemtowne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568454262
- **Authorized official:** MS. CAROLYN J. TWISDALE (CFO)
- **Authorized official phone:** (336) 767-8130

## Contact information

- **Practice address:** 1000 SALEMTOWNE DR, WINSTON-SALEM, NC 27106-3294
- **Practice address phone:** (336) 767-8130
- **Practice address fax:** (336) 767-4090
- **Mailing address:** 1000 SALEMTOWNE DR, WINSTON-SALEM, NC 27106-3294
- **Mailing address phone:** (336) 767-8130
- **Mailing address fax:** (336) 767-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0154 | NC | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 11/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009AR | BLUE CROSS BLUE SHIELD-NC | NC |
| 01 | — | 23892 | PARTNERS MEDICARE | NC |
| 05 | — | 3405479 | — | NC |