NPI 1013008234

Clemmons Village I LLC

Organisation Assisted Living Facility Clemmons, NC

Practice location

Address: 6401 Holder Rd, Clemmons, NC 27012-9207
Phone: (336) 766-2990
Fax: (336) 766-2138

Authorised official

Name: Eric Hadley
Title: Coo
Phone: (843) 296-3985

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence HAL-034-090 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1013008234
Entity type: Organization
NPI issued: 27 Sep 2006
Record last updated: 17 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.