Organization
FAITHWORKS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACK TURNER MARTIN JR. (OWNER)
(336) 394-4216
Entity
Organization
Contact information
Practice address
814 LINDSEY ST, REIDSVILLE, NC 27320-3112
(336) 394-4216
Mailing address
210 S VAN BUREN RD, EDEN, NC 27288-5025
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-079-067
NC
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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