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Organization

EPIC LIFE FAMILY CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARRY TIRRELL HINGLETON (CEO)
(336) 520-8233
Entity
Organization

Contact information

Practice address
3102 BEACONWOOD DR, GREENSBORO, NC 27455-1145
(336) 587-7027
Mailing address
3102 BEACONWOOD DR, GREENSBORO, NC 27455-1145
(336) 587-7027

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
12/01/2020
Last updated
06/18/2025
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