Clemmons Assisted Living LLC
NPI #1649355439 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1649355439
- Entity Type
- Organization
- Organization Name
- Clemmons Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6441 HOLDER RD
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-9207
- Phone
- (336) 778-8548
Authorized Official
- Name
- ALDO BACCALA
- Title
- OWNER / MANAGER
- Phone
- (707) 778-6713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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