Organization
KERNER RIDGE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN NEAGLE (VP FINANCE)
(336) 993-7555
Entity
Organization
Contact information
Practice address
250 HOPKINS RD, KERNERSVILLE, NC 27284-9314
(336) 993-1881
Mailing address
853 OLD WINSTON RD STE 118, KERNERSVILLE, NC 27284-8781
(336) 993-7555
(336) 993-6111
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804126
—
NC
Enumeration date
03/09/2007
Last updated
10/12/2020
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