Organization
ENDWELL HOMES 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY I OKAFOR (PRESIDENT)
(757) 513-8987
Entity
Organization
Contact information
Practice address
4403 PAULA DR, WINSTON SALEM, NC 27127-6835
(757) 513-8987
Mailing address
4403 PAULA DR, WINSTON SALEM, NC 27127-6835
(757) 513-8987
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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