Organization
SANCTUARY AT LAKE DANIELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIS TATE (DIRECTOR)
(951) 391-9028
Entity
Organization
Contact information
Practice address
1405 GARLAND DR, GREENSBORO, NC 27408-8609
(951) 391-9028
Mailing address
1405 GARLAND DR, GREENSBORO, NC 27408-8609
(951) 391-9028
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/21/2025
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