Abundance of Faith X 5

NPI #1538405626 in Reidsville, North Carolina

Provider Information

NPI Number
1538405626
Entity Type
Organization
Organization Name
Abundance of Faith X 5
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 18, 2012
Last Updated
Dec 18, 2012

Practice Location

Address
301 WENTWORTH ST
ZIP Code
27320-2231
Phone
(336) 432-7141

Authorized Official

Name
LATOYA LENORE THURSTON-GRIGGS
Title
MANAGER
Phone
(336) 432-7141

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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