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Climbing Jacobs Ladder Inc
Home Health Agency in Winston Salem, North Carolina
NPI 1235432881

Climbing Jacobs Ladder Inc is a Home Health Agency based in Winston Salem, NC. Climbing Jacobs Ladder Inc practices in Winston Salem, NC. The NPI Number for Climbing Jacobs Ladder Inc is 1235432881 and holds a License No. 13333100 (North Carolina).

The current practice location address for Climbing Jacobs Ladder Inc is 3072 Bainbridge Dr, Winston Salem, NC and can be reached out via phone at 336-529-6129 and via fax at 336-529-6168.

Location: 3072 Bainbridge Dr, Winston Salem, NC, 27105-3916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235432881
Provider Name
Climbing Jacobs Ladder Inc
Credential
Provider Entity Type
Organization
Address
3072 Bainbridge Dr, Winston Salem, NC, 27105-3916
Phone Number
336-529-6129
Fax Number
336-529-6168
Provider Enumeration Date
12/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
134321 05 NC
institution
Provider Business Practice Location Address Details
Address
3072 Bainbridge Dr
City
Winston Salem
State
North Carolina
Zip
27105-3916
Phone Number
336-529-6129
Fax Number
336-529-6168
person
Provider Business Mailing Address Details
Address
3072 Bainbridge Dr
City
Winston Salem
State
North Carolina
Zip
27105-3916
Phone Number
336-529-6129
Fax Number
336-529-6168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
HC4157 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
13333100 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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