Organization
ELM VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE C GARLAND (ACCOUNTS RECEIVABLE BOOKKEEPER)
(336) 883-7419
Entity
Organization
Contact information
Practice address
1915 S ELM ST, HIGH POINT, NC 27260-8806
(336) 883-7419
Mailing address
PO BOX 7266, HIGH POINT, NC 27264-7266
(336) 883-7419
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL041045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804662
—
NC
Enumeration date
01/04/2007
Last updated
08/22/2020
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