Organization
CLIMBING JACOBS LADDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLA PAUL (OWNER)
(336) 529-6129
Entity
Organization
Contact information
Practice address
3072 BAINBRIDGE DR, WINSTON SALEM, NC 27105-3916
(336) 529-6129
(336) 529-6168
Mailing address
3072 BAINBRIDGE DR, WINSTON SALEM, NC 27105-3916
(336) 529-6129
(336) 529-6168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13333100
NC
251E00000X
Home Health Agency
Primary
HC4157
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134321
—
NC
Enumeration date
12/20/2010
Last updated
04/06/2018
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