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Organization

FRIENDS HOMES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM JACKSON (ADMINISTRATOR)
(336) 292-8187
Entity
Organization

Contact information

Practice address
925 NEW GARDEN ROAD, FRIENDS HOMES INC, GREENSBORO, NC 27410-3267
(336) 292-8187
(336) 854-9137
Mailing address
925 NEW GARDEN ROAD, FRIENDS HOMES INC, GREENSBORO, NC 27410-3267
(336) 292-8187
(336) 854-9137

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0190
NC
313M00000X
Nursing Facility/Intermediate Care Facility
NH0190
NC
314000000X
Skilled Nursing Facility
Primary
NH0190
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00833
BCBS PROVIDER NUMBER
NC
05
3405148
NC
05
3406107
NC
Enumeration date
06/08/2005
Last updated
11/06/2014
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