# ENDWELL HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700293883
- **Authorized official:** ANTHONY I OKAFOR PHARMD. (PRESIDENT)
- **Authorized official phone:** (757) 513-8987

## Contact information

- **Practice address:** 4403 PAULA DR, WINSTON SALEM, NC 27127-6835
- **Practice address phone:** (757) 513-8987
- **Practice address fax:** (336) 893-6288
- **Mailing address:** 4403 PAULA DR, WINSTON SALEM, NC 27127-6835
- **Mailing address phone:** (757) 513-8987
- **Mailing address fax:** (336) 893-6288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014