Organization
BHM SALEM TERRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY T KAZER (CHEIF OPERATING OFFICER)
(336) 760-5740
Entity
Organization
Contact information
Practice address
2609 OLD SALISBURY RD, WINSTON SALEM, NC 27127-5903
(336) 760-5740
(336) 760-5741
Mailing address
2609 OLD SALISBURY RD, WINSTON SALEM, NC 27127-5903
(336) 760-5740
(336) 760-5741
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-034-078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805549
—
NC
Enumeration date
01/11/2007
Last updated
08/22/2020
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