Faithful Companion Group Home

NPI #1013251883 in Winston Salem, North Carolina

Provider Information

NPI Number: 1013251883
Entity Type: Organization
Organization Name: Faithful Companion Group Home
Primary Specialty: Respite Care
Enumeration Date: Nov 19, 2012
Last Updated: Nov 19, 2012

Practice Location

Address: 2002 CRAVER MEADOWS DR
City: Winston Salem
State: North Carolina
ZIP Code: 27127-8916
Phone: (336) 602-9858

Authorized Official

Name: MS. PATRECIH REANY TAYLOR, RN
Title: DIRECTOR
Phone: (336) 602-9858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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