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Organization

HINES GOOD SAMARITAN HOME

Active
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Organization

HINES GOOD SAMARITAN HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARETTA LOUISE HINES (ADMINISTRATOR)
(336) 995-4563
Entity
Organization

Contact information

Practice address
2219 MANCHESTER ST., WINSTON-SALEM, NC 27105
(336) 995-4563
(336) 607-4737
Mailing address
2219 MANCHESTER ST, WINSTON SALEM, NC 27105-5535
(336) 607-4737

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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