Organization
GRACESON MANOR ADULT CARE, LLC
Active
Organization
GRACESON MANOR ADULT CARE, LLC
Active
Parent organization
GRACESON MANOR ADULT CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACESON MANOR ADULT CARE, LLC
Authorized official
MS. CHRISTY GWYNN (ADMINISTRATOR)
(336) 327-6284
Entity
Organization
Contact information
Practice address
5860 US 29 BUS, REIDSVILLE, NC 27320-8973
(336) 349-3610
Mailing address
PO BOX 2361, REIDSVILLE, NC 27323-2361
(336) 327-6284
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-079-088
NC
Other
Enumeration date
01/25/2012
Last updated
09/14/2023
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