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Organization
CHRISTALINE STUDIOS
Active
Organization
CHRISTALINE STUDIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTAL SCHANES (CEO AND FOUNDER)
(336) 577-0157
Entity
Organization
Contact information
Practice address
537A N TRADE ST, WINSTON SALEM, NC 27101-2914
(336) 577-0157
Mailing address
537A N TRADE ST, WINSTON SALEM, NC 27101-2914
(336) 577-0157
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
305S00000X
Point of Service
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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