MRS. LATANYA GOODWIN NPI 1639565179

NPI Information

NPI: 1639565179
Provider Name: MRS. LATANYA GOODWIN
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Individual
Address:
558 MISSION RD
WINSTON SALEM, NC
ZIP 27103
Phone: (502) 319-0455
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MRS. Latanya Goodwin is an intermediate care facility mental illness in Winston Salem, NC. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. MRS. Latanya Goodwin NPI is 1639565179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

558 MISSION RD
WINSTON SALEM, NC
ZIP 27103-708
Phone: (502) 319-0455

The enumeration date for this NPI number is 4/11/2015 and was last updated on 10/8/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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