Organization
J. L. REDFORD, INC.
Active
Other names
J. L. Redford, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA R. FAULKNER MASTER'S DEGREE (OWNER/ADMINISTRATOR)
(336) 972-0531
Entity
Organization
Contact information
Practice address
1922 MARTIN LUTHER KING, JR. DRIVE, WINSTON SALEM, NC 27107-1361
(336) 972-0053
(336) 720-9521
Mailing address
1922 MARTIN LUTHER KING, JR. DRIVE, WINSTON SALEM, NC 27107-1361
(336) 972-0531
(336) 720-9521
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4537
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409110
—
NC
Enumeration date
08/22/2006
Last updated
10/06/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us