Organization
IPARC ALTERNATIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARNEST A SIDES JR. (OWNER)
(743) 999-4405
Entity
Organization
Contact information
Practice address
2001 DRYDEN RD, WINSTON SALEM, NC 27107-1303
(743) 999-4405
Mailing address
2001 DRYDEN RD, WINSTON SALEM, NC 27107-1303
(743) 999-4405
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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