Organization
MILTON'S MANOR #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMENIA MILTON (OWNER)
(336) 987-2474
Entity
Organization
Contact information
Practice address
2509 TRIANGLE LAKE RD, HIGH POINT, NC 27260-7138
(336) 889-8835
Mailing address
1607 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-2423
(336) 987-2474
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-041-1030
NC
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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