Graceson Manor in Reidsville - Assisted Living Facility
Graceson Manor - NPI 1104936103
Graceson Manor is a Assisted Living Facility in Reidsville, North Carolina. Graceson Manor practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Graceson Manor is 1104936103. The last update date is 2008-05-20.
Graceson Manor's current location address is 116 Gwynn Dr, Reidsville, North Carolina. You can contact this provider via phone number 3363492806. The mailing address for Graceson Manor is 116 Gwynn Dr, Reidsville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceson Manor |
|---|---|
| Address | 116 Gwynn Dr, Reidsville, North Carolina |
| Phone Number | 3363492806 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ADMI |
|---|---|
| Authorized Official Name | Gwynn L Brenda |
| Telephone Number | 3363493610 |
NPI Number Detail
| NPI Number | 1104936103 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 116 Gwynn Dr |
|---|---|
| City | Reidsville |
| State | North Carolina (NC) |
| Post Code | 273208710 |
| Phone Number | 3363492806 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | FCL-079-054 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805575 | NC | EDS NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Graceson Manor by the Centers for Medicare & Medicaid Services?
The Graceson Manor has been assigned the NPI (National Provider Identifier) 1104936103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Graceson Manor's facilities are situated?
The facilities of Graceson Manor are physically located at the following address: 116 Gwynn Dr, Reidsville, NC, 273208710.
What is the Graceson Manor's area of specialization and corresponding taxonomy classification?
The Graceson Manor's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
When did Graceson Manor receive its 1104936103 assignment?
The Graceson Manor was assigned its 1104936103 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
When was the information related to Graceson Manor most recently updated or refreshed?
The details pertaining to the Graceson Manor, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-20.