Organization
SALEM HOUSE OF WINSTON-SALEM, LLC
Active
Other names
Salem House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA A HALLMAN (CONTROLLER)
(828) 324-8898
Entity
Organization
Contact information
Practice address
2560 WILLARD RD, WINSTON-SALEM, NC 27107-5585
(336) 650-0699
(336) 650-0132
Mailing address
2560 WILLARD RD, WINSTON-SALEM, NC 27107-5585
(336) 650-0699
(336) 650-0132
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL034074
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805233
—
NC
Enumeration date
09/23/2005
Last updated
08/22/2020
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