Organization
GAHC3 CLEMMONS NC TRS SUB, LLC
Active
Other names
Cadence at Clemmons
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
1165 S PEACE HAVEN RD, CLEMMONS, NC 27012-8910
(336) 766-6220
(336) 766-7613
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
(949) 270-9200
(949) 474-0442
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
09/26/2019
Last updated
10/28/2019
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