Organization
AIDS CARE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE JOLLY (PRESIDENT)
(336) 722-6909
Entity
Organization
Contact information
Practice address
127 S POPLAR ST, WINSTON SALEM, NC 27101-3755
(336) 725-3555
(336) 725-8142
Mailing address
1100 W 1ST ST, WINSTON SALEM, NC 27101-3612
(336) 722-6909
(336) 722-6494
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
FCL-034-034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803734
—
NC
01
—
8700459
HIV CASE MANAGEMENT
NC
Enumeration date
09/25/2007
Last updated
09/25/2007
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