Organization
CAYLEE PLACE
Active
Parent organization
GRACESON MANOR ADULT CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACESON MANOR ADULT CARE, LLC
Authorized official
MS. CHRISTY LAVERNE GWYNN (ADMINISTRATOR)
(336) 349-3610
Entity
Organization
Contact information
Practice address
538 WARRINER ST, REIDSVILLE, NC 27320-3053
(336) 394-4403
(336) 342-4473
Mailing address
PO BOX 2361, REIDSVILLE, NC 27323-2361
(336) 349-3610
(336) 342-4473
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-079-091
NC
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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