Organization
MORAVIAN HOME INCORPORATED
Active
Other names
Salemtowne
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN J. TWISDALE (CFO)
(336) 767-8130
Entity
Organization
Contact information
Practice address
1000 SALEMTOWNE DR, WINSTON-SALEM, NC 27106-3294
(336) 767-8130
(336) 767-4090
Mailing address
1000 SALEMTOWNE DR, WINSTON-SALEM, NC 27106-3294
(336) 767-8130
(336) 767-4090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009AR
BLUE CROSS BLUE SHIELD-NC
NC
01
—
23892
PARTNERS MEDICARE
NC
05
—
3405479
—
NC
Enumeration date
08/18/2005
Last updated
11/18/2010
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