# CITADEL AT WINSTON SALEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Valley Center for Nursing and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821551797
- **Authorized official:** BATYA GORELICK (VP OF ADMINISTRATIVE SERVICES)
- **Authorized official phone:** (336) 724-2821

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/09/2019
- **Last updated:** 01/03/2023