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WOLFE & JACKSON FAMILY CARE HOME

Nursing Yellow Pages

Winston Salem, North Carolina

Provider NPI: 1457476913

Organization Information:
Organization Name:  WOLFE & JACKSON FAMILY CARE HOME


Practice Location:
744 EAST SPRAGUE STREET  WINSTON SALEM, NC 27107 US
Tel: 336-722-8354  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
NCFCL034020

Other Provider Identifiers:

IssuerNumberStateType
237701279PNC05
PROVIDER #7802068NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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