Organization
ENDWELL HOMES 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OKAFOR (PRESIDENT)
(757) 513-8987
Entity
Organization
Contact information
Practice address
4403 PAULA DR, WINSTON SALEM, NC 27127-6835
(757) 513-8987
Mailing address
4266 INDIANA AVE, WINSTON SALEM, NC 27105-2510
(757) 513-8987
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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