Organization
WP-WINSTON-SALEM HEALTH HOLDINGS, LLC
Active
Other names
Magnolia Creek Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
2560 WILLARD RD, WINSTON SALEM, NC 27107-5543
(336) 650-0699
(336) 650-0132
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
(828) 326-8115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-034-097
NC
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/27/2012
Last updated
10/26/2021
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