Organization
SPRINGWELL NETWORK, INC.
Active
Other names
Group Homes of Forsyth, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE WARREN (EXECUTIVE DIRECTOR)
(336) 831-1300
Entity
Organization
Contact information
Practice address
2588 BRANDYWINE ROAD, WINSTON SALEM, NC 27103-6602
(336) 765-6601
(336) 831-1314
Mailing address
3820 NORTH PATTERSON AVENUE, WINSTON SALEM, NC 27105
(336) 831-1300
(336) 831-1314
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-034-362
NC
311ZA0620X
Adult Care Home Facility
MHL-034-362
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-034-362
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL034147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804414
—
NC
Enumeration date
09/27/2006
Last updated
02/19/2018
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