Organization
CHAMPION FAMILY HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE LOIS VAN-RIEL (EXECUTIVE DIRECTOR)
(901) 283-4566
Entity
Organization
Contact information
Practice address
2717 SAWGRASS CT, WINSTON SALEM, NC 27103-6691
(336) 659-2359
(336) 785-9111
Mailing address
2717 SAWGRASS CT, WINSTON SALEM, NC 27103-6691
(336) 659-2359
(336) 785-9111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4124
NC
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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