NPI 1023272663

Wolfe & Jackson Family Care Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Winston Salem, NC

Practice location

Address: 3913 Indiana Ave, Winston Salem, NC 27105-3410
Phone: (336) 661-9032
Mailing address: PO Box 12002, Winston Salem, NC 27117-2002

Authorised official

Name: Zelma Jackson Wolfe
Title: Administrator
Phone: (336) 722-8354

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1023272663
Entity type: Organization
NPI issued: 14 Jul 2008
Record last updated: 14 Jul 2008

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.