Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH ANN HINERMAN (OCCUPATIONAL THERAPIST)
(336) 688-6515
Entity
Organization
Contact information
Practice address
5755 SHATTALON DR, WINSTON SALEM, NC 27105-1332
(336) 744-2779
Mailing address
5755 SHATTALON DR, WINSTON SALEM, NC 27105-1332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5223
NC
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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