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Organization

EMMANUEL SENIOR ENRICHMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. E VENICE PRESTON (EXECUTIVE DIRECTOR)
(336) 882-6613
Entity
Organization

Contact information

Practice address
1401 HEATHCLIFF RD, HIGH POINT, NC 27262-7451
(336) 882-6613
Mailing address
PO BOX 5753, HIGH POINT, NC 27262-5753
(336) 882-6613

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QA0600X
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408275
NC
Enumeration date
04/10/2007
Last updated
08/22/2020
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