| NPI | 1811622137 |
|---|---|
| Doing Business As | DEDICATED SENIOR MEDICAL CENTER SOUTHSIDE WINSTON SALEM TC |
| Entity Type | Organization |
| Authorized Contact | MARY CHEN Authorized Official 305-628-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |