Organization
ELMS AT TANGLEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JONES (OFFICE MANAGER)
(336) 766-2131
Entity
Organization
Contact information
Practice address
3750 HARPER RD, CLEMMONS, NC 27012-8682
(336) 766-2131
(336) 766-2160
Mailing address
PO BOX 349, CLEMMONS, NC 27012-0349
(336) 766-2131
(336) 766-2160
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-034-034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803705
—
NC
Enumeration date
09/20/2006
Last updated
08/22/2020
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