Organization
OPEN DOOR HOME HEALTH CARE & COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE WHITE (PRESIDENT)
(336) 734-6919
Entity
Organization
Contact information
Practice address
1900 MARTIN LUTHER KING JR DR, P, WINSTON-SALEM, NC 27107-1348
(336) 734-6919
Mailing address
1900 MLK JR DR, WINSTON-SALEM, NC 27107-1348
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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