GENUWINEPERSONALCARE

WINSTON SALEM, NC
NPI1508902701
Entity TypeOrganization
Authorized ContactAUDREY JEAN WILLIAMS
Owner
336-499-7113
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2007-01-29
Last Update Date2009-07-16
Business Address
GENUWINEPERSONALCARE
3305 STOCKTON ST
WINSTON SALEM, NC 27127-5135
Phone number: 336-499-7113
Mailing Address
GENUWINEPERSONALCARE
3305 STOCKTON ST
WINSTON SALEM, NC 27127-5135
Phone number: 336-499-7113
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