NPI 1588192280

Brookstone of Clemmons, LLC

Organisation Assisted Living Facility Clemmons, NC

Practice location

Address: 4430 Clinard Rd, Clemmons, NC 27012-8487
Phone: (336) 766-5000
Fax: (336) 766-5020
Mailing address: PO Box 1682, Clemmons, NC 27012-1682

Authorised official

Name: Yvonne D Peterson
Title: Administrator
Phone: (336) 687-2580

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence HAL-034-102 (NC)

Other Assisted Living Facility providers in North Carolina →

Registry record

NPI: 1588192280
Entity type: Organization
NPI issued: 25 May 2017
Record last updated: 25 May 2017

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.