Organization
ST. GALE'S MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JR. LAWSON (PRESIDENT)
(336) 621-5336
Entity
Organization
Contact information
Practice address
1411 LEES CHAPEL RD, GREENSBORO, NC 27405-1615
(336) 621-5336
Mailing address
PO BOX 14982, GREENSBORO, NC 27415-4982
(336) 691-5388
(336) 691-5389
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
HAL-041-023
NC
Other
Enumeration date
07/11/2007
Last updated
06/25/2008
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