# NOA HUMAN SERVICES LLC 3

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

## Provider details

- **NPI number:** 1841608866
- **Authorized official:** NENA IKWECHEGH (DIRECTOR)
- **Authorized official phone:** (336) 287-3241

## Contact information

- **Practice address:** 1847 WAYCROSS DRIVE, WINSTON SALEM, NC 27106
- **Practice address phone:** (336) 287-3241
- **Mailing address:** P O BOX 17002, WINSTON SALEM, NC 27106
- **Mailing address phone:** (336) 287-3241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2014
- **Last updated:** 07/24/2014
