Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Emma Lucille Garvin, ADMINISTRATOR

Individual provider Mental Illness Intermediate Care Facility · NPI 1922123892

Mrs. Emma Lucille Garvin, ADMINISTRATOR is a Mental Illness Intermediate Care Facility in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

4527 Country Club Rd
Winston Salem, NC 27104-3517
Phone: (336) 765-8460
Fax: (336) 724-9674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X · Licence MHL 034-190 (NC)

Record details

NPI number1922123892
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADMINISTRATOR
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 9, 2007

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