J. L. Redford, Inc.
NPI #1932215886 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1932215886
- Entity Type
- Organization
- Organization Name
- J. L. Redford, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 1922 MARTIN LUTHER KING, JR. DRIVE
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27107-1361
- Phone
- (336) 972-0053
Authorized Official
- Name
- MRS. GLORIA R. FAULKNER, MASTER'S DEGREE
- Title
- OWNER/ADMINISTRATOR
- Phone
- (336) 972-0531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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