HINES GOOD SAMARITAN HOME NPI 1912172198

NPI Information

HINES GOOD SAMARITAN HOME is an adult care home custodial care facility in Winston Salem, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. HINES GOOD SAMARITAN HOME NPI is 1912172198. The provider is registered as an organization entity type.

The provider's business location address is:

2317 ELBON DR
WINSTON SALEM, NC
ZIP 27105-649
Phone: (336) 722-7818

The provider's authorized official is Margaretta Hines Moore .
The authorized official title is Administrator and has the following contact phone number (336) 727-1308.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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