Emma Lucille Garvin in Winston Salem - Intermediate Care Facility, Mental Illness

Emma Lucille Garvin - NPI 1922123892

Emma Lucille Garvin is a Intermediate Care Facility, Mental Illness in Winston Salem, North Carolina. Emma Lucille Garvin practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Emma Lucille Garvin is 1922123892. The last update date is 2007-07-09.

Emma Lucille Garvin's current location address is 4527 Country Club Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367658460 and fax number 3367249674. The mailing address for Emma Lucille Garvin is 4527 Country Club Rd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Emma Lucille Garvin
Address 4527 Country Club Rd, Winston Salem, North Carolina
Phone Number 3367658460
Fax Number 3367249674
Sole Proprietor Y
Credentials ADMINISTRA

NPI Number Detail

NPI Number 1922123892
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4527 Country Club Rd
City Winston Salem
State North Carolina (NC)
Post Code 271043517
Phone Number 3367658460
Fax Number 3367249674

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Mental Illness
Taxonomy 310500000X
Licence No MHL 034-190
Definition:
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805234 NC --

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FAQs about Emma Lucille Garvin

What is the Emma Lucille Garvin's unique identification number?

The Emma Lucille Garvin has been assigned the NPI (National Provider Identifier) Number 1922123892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Emma Lucille Garvin's facilities are situated?

The facilities of Emma Lucille Garvin are physically located at the following address: 4527 Country Club Rd, Winston Salem, NC, 271043517.

What is Emma Lucille Garvin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Emma Lucille Garvin is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 310500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922123892 to Emma Lucille Garvin?

The Emma Lucille Garvin received its 1922123892 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.

When was the information related to Emma Lucille Garvin most recently updated or refreshed?

The details pertaining to the Emma Lucille Garvin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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