| Wolfe & Jackson Group Home, Inc | |
|
744 E Sprague St Winston Salem NC 27107-3246 | |
| (336) 788-3004 | |
| (336) 529-6454 |
| Full Name | Wolfe & Jackson Group Home, Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 744 E Sprague St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Zelma Jackson Wolfe (ADMINISTRATOR, CEO) |
| Authorized Official Contact | 3367883004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolfe & Jackson Group Home, Inc Po Box 12002 Winston Salem NC 27117-2002 Ph: (336) 722-8354 | Wolfe & Jackson Group Home, Inc 744 E Sprague St Winston Salem NC 27107-3246 Ph: (336) 788-3004 |
| NPI Number | 1790016517 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790016517 | NPI | - | NPPES |
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