Organization
WILKES TRADITIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDRA TRIVETTE (ADMINISTRATOR)
(336) 667-2020
Entity
Organization
Contact information
Practice address
206 OLD BRICKYARD ROAD, NORTH WILKESBORO, NC 28659-1227
(336) 667-2211
(336) 667-8199
Mailing address
PO BOX 1227, 206 OLD BRICKYARD ROAD, NORTH WILKESBORO, NC 28659-1227
(336) 667-2211
(336) 667-8199
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HHL-097-010
NC
Other
Enumeration date
10/11/2006
Last updated
07/21/2022
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