Organization
ASHLEE PLACE
Active
Parent organization
GRACESON MANOR ADULT CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACESON MANOR ADULT CARE, LLC
Authorized official
CHRISTY LAVERNE GWYNN (ADMINISTRATOR)
(336) 327-6284
Entity
Organization
Contact information
Practice address
538 WARRINER STREET, REIDSVILLE, NC 27320
(336) 327-6284
(336) 342-4473
Mailing address
PO BOX 2361, REIDSVILLE, NC 27323-2361
(336) 349-3610
(336) 342-4473
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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