Organization
ALPHA CONCORD OF GREENSBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET OKWOSHAH (ADMINISTRATOR)
(919) 819-3882
Entity
Organization
Contact information
Practice address
3301 GAR PL, GREENSBORO, NC 27406-5625
(336) 852-5810
(336) 852-5839
Mailing address
PO BOX 41153, RALEIGH, NC 27629-1153
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-041-082
NC
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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