Organization
FIVE MILE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORETTA KING (OWNER)
(336) 254-3867
Entity
Organization
Contact information
Practice address
4994 WINDING RIDGE DR, GREENSBORO, NC 27406-3158
(336) 254-3867
Mailing address
4994 WINDING RIDGE DR, GREENSBORO, NC 27406-3158
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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