Organization
WINSTON SALEM HOLDINGS LLC
Active
Other names
Reynolds House
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HODGES (MEMBER MANAGER)
(828) 738-3046
Entity
Organization
Contact information
Practice address
2900 REYNOLDS PARK RD, WINSTON SALEM, NC 27107-1653
(336) 785-0050
(336) 784-6187
Mailing address
2900 REYNOLDS PARK RD, PO BOX 12937, WINSTON SALEM, NC 27107-1653
(336) 785-0050
(336) 784-6187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL034079
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805586
—
NC
Enumeration date
02/23/2007
Last updated
06/24/2008
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