ANGEL ALLEN

REIDSVILLE, NC
NPI1548687064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: VA  0131000834)
Enumeration Date2014-03-21
Last Update Date2014-03-21
Business Address
-- ANGEL ALLEN COTA/L
255 PENN LAKE DR
REIDSVILLE, NC 27320
Phone number: 336-932-5616
Mailing Address
-- ANGEL ALLEN COTA/L
255 PENN LAKE DR
REIDSVILLE, NC 27320-2401
Phone number:
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