Organization
RAINTREE HEALTHCARE OF WILKESBORO LLC
Active
Other names
WILKES COUNTY ADULT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
REEMA OWENS (MANAGING MBR)
(704) 763-6300
Entity
Organization
Contact information
Practice address
176 RESTHOME RD, WILKESBORO, NC 28697-7145
(336) 973-3890
(704) 973-4019
Mailing address
2015 AYRSLEY TOWN BLVD STE 202, CHARLOTTE, NC 28273-4068
(704) 280-8340
(704) 973-4019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-097-014
NC
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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