Organization
SPRINGBOARD CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA JEAN MASON QP,BS (QP/MR/DD)
(336) 724-1565
Entity
Organization
Contact information
Practice address
2200 SILAS CREEK PKWY, SUITE 3-A, WINSTON-SALEM, NC 27103-5000
(336) 724-1565
(336) 724-5245
Mailing address
2200 SILAS CREEK PKWY, SUITE 3-A, WINSTON-SALEM, NC 27103-5000
(336) 724-1565
(336) 724-5245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408926
—
NC
05
—
66000689
—
NC
05
—
8301484B
—
NC
Enumeration date
05/18/2006
Last updated
08/22/2020
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