Organization
NCAL-CHERRYVILLE, INC.
Active
Other names
Somerset Court of Cherryville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BENTON (CEO)
(336) 724-1000
Entity
Organization
Contact information
Practice address
401 W ACADEMY ST, CHERRYVILLE, NC 28021-3101
(704) 445-1554
(704) 445-1501
Mailing address
1105 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-2524
(336) 724-1000
(336) 724-9955
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-036017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804013
—
NC
Enumeration date
12/11/2006
Last updated
01/10/2014
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