Organization
NARU FAMILY CARE HOMES#2
Active
Parent organization
NARU FAMILY CARE HOMES#1
Organization subpart
Yes
Provider details
NPI number
Legal business name
NARU FAMILY CARE HOMES#1
Authorized official
DERRICK HINES (ADMINISTRATOR)
(336) 972-1892
Entity
Organization
Contact information
Practice address
4266 INDIANA AVE, WINSTON SALEM, NC 27105-2510
(336) 776-1870
Mailing address
PO BOX 1101, WINSTON SALEM, NC 27102-1101
(336) 776-1870
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
FCL034072
NC
Other
Enumeration date
02/27/2007
Last updated
08/30/2007
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