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Organization

COMMUNITY ASSISTED RESIDENTIAL ENVIRONMENT LLC

Active
Other names
CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANDRA CROMARTIE (DIRECTOR OF OPERATIONS)
(336) 760-1184
Entity
Organization

Contact information

Practice address
1381 OLD MILL CIR, SUITE 301, WINSTON SALEM, NC 27103-1400
(336) 760-1184
(336) 760-1727
Mailing address
1381 OLD MILL CIR, SUITE 301, WINSTON SALEM, NC 27103-1400
(336) 760-1184
(336) 760-1727

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-029-095
NC
251S00000X
Community/Behavioral Health Agency
MHL-034-172
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409208
NC
05
7804690
NC
05
8300661
NC
05
8300661A
NC
05
8300661B
NC
05
8300661G
NC
05
8300661H
NC
Enumeration date
01/24/2007
Last updated
10/09/2007
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