Organization
WINSTON SALEM HOLDINGS LLC
Active
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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