EMMA LUCILLE GARVIN

WINSTON SALEM, NC
NPI1922123892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310500000X Intermediate Care Facility, Mental Illness
(Licence: NC  MHL 034-190)
Enumeration Date2007-03-20
Last Update Date2007-07-09
Business Address
Mrs. EMMA LUCILLE GARVIN Administrator
4527 COUNTRY CLUB RD
WINSTON SALEM, NC 27104-3517
Phone number: 336-765-8460
Mailing Address
Mrs. EMMA LUCILLE GARVIN Administrator
1161 EDENWOOD DR
WINSTON SALEM, NC 27103-6114
Phone number: 336-682-5870
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