Organization
SHEKINAH RESOURCE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN A SMITH (PRESIDENT/CEO)
(336) 747-3479
Entity
Organization
Contact information
Practice address
450 W HANES MILL RD, STE 222, WINSTON SALEM, NC 27105-9141
(336) 747-3479
Mailing address
450 W HANES MILL RD, STE 222, WINSTON SALEM, NC 27105-9141
(336) 747-3479
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
27780134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27780134
NON EMERGENCY MEDICAL TRANSPORTATION
NC
Enumeration date
03/02/2016
Last updated
03/02/2016
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