Cemmons Village I, LLC
NPI #1013008234 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1013008234
- Entity Type
- Organization
- Organization Name
- Cemmons Village I, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Jun 21, 2010
Practice Location
- Address
- 6401 HOLDER RD
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-9207
- Phone
- (336) 766-2990
Authorized Official
- Name
- ERIC HADLEY
- Title
- COO
- Phone
- (843) 296-3985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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