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Organization

KRRAM-Z,LLC

Active
Other names
Maple Heights Rest Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH RAY RAMSEY (OWNER)
(336) 922-5162
Entity
Organization

Contact information

Practice address
2065 CHUB LAKE ROAD, ROXBORO, NC 27573
(336) 599-1255
(336) 599-1850
Mailing address
2251 SALLIES LN, WINSTON SALEM, NC 27106-8613
(336) 922-5162
(336) 922-2074

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7804688
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804688
NC
Enumeration date
09/22/2006
Last updated
08/22/2020
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