Organization
NARU LEGACY INCORPORATED
Active
Other names
naru legacy
Organization subpart
No
Provider details
NPI number
Authorized official
MALEBOGO NANZALA HINES PHARM D (OWNER)
(336) 392-1953
Entity
Organization
Contact information
Practice address
4266 INDIANA AVE, WINSTON SALEM, NC 27105-2510
(336) 392-1953
Mailing address
7707 TALL MEADOWS DR, KERNERSVILLE, NC 27284-6706
(336) 392-1953
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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