Organization
CAROLINA CLASSIC SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH MUZE RN, PHD, CSCM (DIRECTOR)
(336) 745-8862
Entity
Organization
Contact information
Practice address
1922 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27107-1361
(336) 464-3124
(336) 734-6717
Mailing address
1922 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27107-1361
(336) 464-3124
(336) 734-6917
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
311ZA0620X
Adult Care Home Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/07/2017
Last updated
11/05/2025
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