Organization
REIDSVILLE HOLDINGS LLC
Active
Other names
Reidsville House
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HODGES (MEMBER MANAGER)
(828) 738-3046
Entity
Organization
Contact information
Practice address
305 S BRANCH ST, REIDSVILLE, NC 27320-3917
(336) 349-5595
(336) 634-0931
Mailing address
305 S BRANCH ST, PO BOX 300, REIDSVILLE, NC 27320-3917
(336) 349-5595
(336) 634-0931
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL079055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805587
—
NC
Enumeration date
02/23/2007
Last updated
08/22/2020
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