Organization
GODS PALACE
Active
Organization
GODS PALACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN LEE PERRY (MEMBER/MANAGER)
(336) 729-5927
Entity
Organization
Contact information
Practice address
1925 ASTORIA CT, WINSTON SALEM, NC 27127-5834
(336) 729-5927
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(336) 729-5927
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up