Organization
NORTHSTAR RESIDENTIAL AND COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD KENNETH VENABLE (CHIEF EXECUTIVE OFFICER)
(336) 779-0016
Entity
Organization
Contact information
Practice address
4894 DIPPEN RD, WINSTON SALEM, NC 27105-9711
(336) 779-0016
Mailing address
4894 DIPPEN RD, WINSTON SALEM, NC 27105-9711
(336) 779-0016
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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