J. L. Redford, Inc. in Winston Salem - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
J. L. Redford, Inc. - NPI 1932215886
J. L. Redford, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Winston Salem, North Carolina. J. L. Redford, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for J. L. Redford, Inc. is 1932215886. The last update date is 2015-10-06.
J. L. Redford, Inc.'s current location address is 1922 Martin Luther King, Jr. Drive, Winston Salem, North Carolina. You can contact this provider via phone number 3369720531 and fax number 3367209521. The mailing address for J. L. Redford, Inc. is 1922 Martin Luther King, Jr. Drive, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | J. L. Redford, Inc. |
|---|---|
| Address | 1922 Martin Luther King, Jr. Drive, Winston Salem, North Carolina |
| Phone Number | 3369720531 |
| Fax Number | 3367209521 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ADMI |
|---|---|
| Authorized Official Name | Faulkner R. Gloria |
| Credentials | MASTER'S D |
| Telephone Number | 3369720531 |
NPI Number Detail
| NPI Number | 1932215886 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2015-10-06 |
Provider Mailing Address Detail
| Address | 1922 Martin Luther King, Jr. Drive |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271071361 |
| Phone Number | 3369720531 |
| Fax Number | 3367209521 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 4537 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3409110 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to J. L. Redford, Inc. by the Centers for Medicare & Medicaid Services?
The J. L. Redford, Inc. has been issued the NPI (National Provider Identifier) 1932215886. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where J. L. Redford, Inc.'s facilities are situated?
The facilities of J. L. Redford, Inc. are physically located at the following address: 1922 Martin Luther King, Jr. Drive, Winston Salem, NC, 271071361.
What is J. L. Redford, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for J. L. Redford, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did J. L. Redford, Inc. receive its 1932215886 assignment from the Centers for Medicare & Medicaid Services?
The J. L. Redford, Inc. was assigned its 1932215886 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding J. L. Redford, Inc. most recently updated?
The details pertaining to the J. L. Redford, Inc., including its address, specialty, and other relevant information, were last refreshed on 2015-10-06.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY