# EMERYWOOD SUPERVISED LIVING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962387928
- **Authorized official:** ANA FALCON (OWNER)
- **Authorized official phone:** (336) 781-9711

## Contact information

- **Practice address:** 701 ARBORDALE AVE, HIGH POINT, NC 27262-4621
- **Practice address phone:** (336) 781-9711
- **Mailing address:** 701 ARBORDALE AVE, HIGH POINT, NC 27262-4621
- **Mailing address phone:** (336) 781-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2025
- **Last updated:** 08/08/2025