| Wilson Smith Cottage | |
|
185 Martindale Rd Winston Salem NC 27107-1705 | |
| (336) 785-3813 | |
| Not Available |
| Full Name | Wilson Smith Cottage |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 185 Martindale Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Kirby Nickerson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7047548228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Smith Cottage Po Box 2369 Salisbury NC 28145-2369 Ph: (704) 754-8232 | Wilson Smith Cottage 185 Martindale Rd Winston Salem NC 27107-1705 Ph: (336) 785-3813 |
| NPI Number | 1881740298 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 06/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881740298 | NPI | - | NPPES |
| 3406387 | Medicaid | NC |
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