Caylee Place

NPI #1306199617 in Reidsville, North Carolina

Provider Information

NPI Number: 1306199617
Entity Type: Organization
Organization Name: Caylee Place
Subpart: Yes (part of a larger organization)
Parent Organization: GRACESON MANOR ADULT CARE, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 538 WARRINER ST
City: Reidsville
State: North Carolina
ZIP Code: 27320-3053
Phone: (336) 394-4403

Authorized Official

Name: MS. CHRISTY LAVERNE GWYNN
Title: ADMINISTRATOR
Phone: (336) 349-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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