Grandfather Home Community Services for Children
Grandfather Home Community Services for Children is a Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
5560 Sturmer Park CirWinston Salem, NC 27105-1372
Phone: (828) 898-5465
Fax: (828) 898-8513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence MHL-034-015 (NC) |
|---|
Record details
| NPI number | 1588721591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jim Swinkola — Ceo · (828) 898-5465 |
| NPI enumerated | January 2, 2007 |
| Last updated in NPPES | February 22, 2008 |
| Mailing address | Po Box 98, Banner Elk, NC 28604-0098 |
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