New Graceson Manor Adult Care, LLC
NPI #1659814903 in Reidsville, North Carolina
Provider Information
- NPI Number
- 1659814903
- Entity Type
- Organization
- Organization Name
- New Graceson Manor Adult Care, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 18, 2016
- Last Updated
- Nov 18, 2016
Practice Location
- Address
- 116 GWYNN DR
- City
- Reidsville
- State
- North Carolina
- ZIP Code
- 27320-8710
- Phone
- (336) 349-3610
Authorized Official
- Name
- MRS. VERNELL M SIMPSON
- Title
- ADMINISTRATOR
- Phone
- (336) 613-2319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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