| Independent Living Group Home, Llc | |
|
924 Cloister Dr Winston Salem NC 27127 | |
| (336) 767-4540 | |
| (336) 283-9288 |
| Full Name | Independent Living Group Home, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 924 Cloister Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Shanita Lovelace (DIRECTOR/ OWNER) |
| Authorized Official Contact | 3367674540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Living Group Home, Llc 7748 N Point Blvd Winston Salem NC 27106-3310 Ph: (336) 767-4540 | Independent Living Group Home, Llc 924 Cloister Dr Winston Salem NC 27127 Ph: (336) 767-4540 |
| NPI Number | 1093991234 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093991234 | NPI | - | NPPES |
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