Organization
NEW GRACESON MANOR ADULT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERNELL M SIMPSON (ADMINISTRATOR)
(336) 613-2319
Entity
Organization
Contact information
Practice address
116 GWYNN DR, REIDSVILLE, NC 27320-8710
(336) 349-3610
(336) 342-4473
Mailing address
186 STOCKTON RD, REIDSVILLE, NC 27320-8632
(336) 349-3610
(336) 342-4473
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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