Organization
CRANE VILLA OF SHULER HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SHULER WHITT (ADMINISTRATOR)
(336) 996-0772
Entity
Organization
Contact information
Practice address
250 PITTS ST, KERNERSVILLE, NC 27284-2670
(336) 996-0772
(336) 996-6225
Mailing address
PO BOX 548, KERNERSVILLE, NC 27285-0548
(336) 996-0772
(336) 996-6225
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-034-009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801547
—
NC
Enumeration date
02/22/2007
Last updated
08/22/2020
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