Organization
WINSTON SALEM HEALTHCARE LLC
Active
Other names
GRACE HEALTHCARE OF WINSTON SALEM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CLARK DANKS CPA (VP OF FINANCE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
(336) 724-2821
(336) 725-8314
Mailing address
1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
(336) 724-2821
(336) 725-8314
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
923570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345092
—
NC
05
—
3416540
—
NC
Enumeration date
11/08/2007
Last updated
06/09/2008
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