Organization
NCAL - WINSTON SALEM, INC.
Active
Other names
Somerset Court at University Place
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BENTON (CEO)
(336) 724-1000
Entity
Organization
Contact information
Practice address
1635 E 5TH ST, WINSTON SALEM, NC 27101-3312
(336) 722-7119
(336) 837-0212
Mailing address
1105 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-2524
(336) 724-1000
(336) 724-9955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-034-070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805092
—
NC
Enumeration date
12/27/2006
Last updated
08/22/2020
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