Organization
INTEGRITY-PARK TERRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SWAIN SHORT (CIO)
(336) 438-1383
Entity
Organization
Contact information
Practice address
712 BROADWAY ST, SOUTH FULTON, TN 38257-2406
(731) 479-1321
Mailing address
4900 KOGER BLVD STE 150, GREENSBORO, NC 27407-2738
(336) 438-1383
(336) 438-1387
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
11/18/2021
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