LATANYA GOODWIN

WINSTON SALEM, NC
NPI1639565179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310500000X Intermediate Care Facility, Mental Illness
Enumeration Date2015-04-11
Last Update Date2015-10-08
Business Address
Mrs. LATANYA GOODWIN
558 MISSION RD
WINSTON SALEM, NC 27103-1708
Phone number: 502-319-0455
Mailing Address
Mrs. LATANYA GOODWIN
558 MISSION RD
WINSTON SALEM, NC 27103-1708
Phone number: 502-319-0455
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