Organization
NOA HUMAN SERVICES LLC 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENA IKWECHEGH (DIRECTOR)
(336) 287-3241
Entity
Organization
Contact information
Practice address
1847 WAYCROSS DRIVE, WINSTON SALEM, NC 27106
(336) 287-3241
Mailing address
P O BOX 17002, WINSTON SALEM, NC 27106
(336) 287-3241
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/24/2014
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