Organization
GUARDIAN CARE ADVISORS, INC.
Active
Other names
Griswold Home Care of Winston Salem
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN POTTER (DIRECTOR/OWNER)
(336) 462-8472
Entity
Organization
Contact information
Practice address
1320 ASHLEY SQ, WINSTON SALEM, NC 27103-2919
(336) 462-8472
Mailing address
1320 ASHLEY SQ, WINSTON SALEM, NC 27103-2919
(336) 462-8472
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
HC4488
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC4488
DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH SERVICE REGULATION
NC
Enumeration date
06/26/2015
Last updated
06/26/2015
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