NPI 1083017230

Endwell Homes 1 LLC

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

Practice location

Address: 4403 Paula Dr, Winston Salem, NC 27127-6835
Phone: (757) 513-8987

Authorised official

Name: Anthony I Okafor
Title: President
Phone: (757) 513-8987

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: 1083017230
Entity type: Organization
NPI issued: 2 Oct 2014
Record last updated: 2 Oct 2014

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.