Organization
INTEGRITY HOUSTON HOUSE LLC
Active
Other names
Houston House
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SWAIN SHORT (CIO)
(336) 438-1383
Entity
Organization
Contact information
Practice address
9460 US HIGHWAY 64, UNION MILLS, NC 28167-7924
(828) 287-4943
Mailing address
4900 KOGER BLVD STE 150, GREENSBORO, NC 27407-2738
(336) 438-1383
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-059-033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAL-059-033
STATE OF NC DHHS
NC
Enumeration date
07/14/2017
Last updated
11/18/2021
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