Organization
HERITAGE CARE OF ELKIN, LLC
Active
Organization
HERITAGE CARE OF ELKIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE P HAMMONDS (MANAGING MEMBER)
(336) 595-6004
Entity
Organization
Contact information
Practice address
500 JOHNSON RIDGE RD, ELKIN, NC 28621-2420
(336) 835-6672
Mailing address
PO BOX 1487, KERNERSVILLE, NC 27285-1487
(336) 595-1075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-086-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804345
—
NC
Enumeration date
10/26/2006
Last updated
08/22/2020
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