Independent Living Group Home, Llc in Winston Salem - Community/behavioral Health

Independent Living Group Home, Llc - NPI 1093991234

Independent Living Group Home, Llc is a Community/behavioral Health in Winston Salem, North Carolina. Independent Living Group Home, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Independent Living Group Home, Llc is 1093991234. The last update date is 2019-11-18.

Independent Living Group Home, Llc's current location address is 7748 N Point Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367674540 and fax number 3364990651. The mailing address for Independent Living Group Home, Llc is 7748 N Point Blvd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Independent Living Group Home, Llc
Address 7748 N Point Blvd, Winston Salem, North Carolina
Phone Number 3367674540
Fax Number 3364990651
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR/
Authorized Official Name Lovelace Shanita
Credentials RN
Telephone Number 3367674540

NPI Number Detail

NPI Number 1093991234
Provider Enumeration Date 2008-01-17
Last Updated Date 2019-11-18

Provider Mailing Address Detail

Address 7748 N Point Blvd
City Winston Salem
State North Carolina (NC)
Post Code 271063310
Phone Number 3367674540
Fax Number 3364990651

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

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FAQs about Independent Living Group Home, Llc

What is the unique 10-digit identifier code assigned to Independent Living Group Home, Llc by the Centers for Medicare & Medicaid Services?

The Independent Living Group Home, Llc has been issued the NPI (National Provider Identifier) 1093991234 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Independent Living Group Home, Llc's physical address?

The Independent Living Group Home, Llc is physically located at 7748 N Point Blvd, in the city of Winston Salem, NC, with the postal code 271063310.

What is Independent Living Group Home, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Independent Living Group Home, Llc's area of specialization is Community/behavioral Health, and the corresponding taxonomy code that categorizes this field of practice is 251S00000X.

When did Independent Living Group Home, Llc receive its 1093991234 assignment?

The Independent Living Group Home, Llc was assigned its 1093991234 on 2008-01-17, which is the date when this unique identifier was issued to the organization.

When was the information regarding Independent Living Group Home, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Independent Living Group Home, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-11-18.

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