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Organization

WHIT RAVEN FAMILY HOME CARE

Active
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Organization

WHIT RAVEN FAMILY HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODERICK GIST (OWNER/OPERATOR)
(336) 287-8789
Entity
Organization

Contact information

Practice address
203 SNEAD RD, WINSTON SALEM, NC 27103-6830
(336) 293-6664
Mailing address
203 SNEAD RD, WINSTON SALEM, NC 27103-6830
(336) 293-6664

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL

Other

Enumeration date
10/07/2025
Last updated
06/09/2026
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