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Clemmons Assisted Living Llc
Assisted Living Facility in Clemmons, North Carolina
NPI 1649355439

Clemmons Assisted Living Llc is an Assisted Living Facility based in Clemmons, NC. Clemmons Assisted Living Llc practices in Clemmons, NC. The NPI Number for Clemmons Assisted Living Llc is 1649355439 and holds a License No. HAL-034-062 (North Carolina).

The current practice location address for Clemmons Assisted Living Llc is 6441 Holder Rd, Clemmons, NC and can be reached out via phone at 336-778-8548 and via fax at 336-778-8875.

Location: 6441 Holder Rd, Clemmons, NC, 27012-9207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649355439
Provider Name
Clemmons Assisted Living Llc
Credential
Provider Entity Type
Organization
Address
6441 Holder Rd, Clemmons, NC, 27012-9207
Phone Number
336-778-8548
Fax Number
336-778-8875
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7804691 05 NC
institution
Provider Business Practice Location Address Details
Address
6441 Holder Rd
City
Clemmons
State
North Carolina
Zip
27012-9207
Phone Number
336-778-8548
Fax Number
336-778-8875
person
Provider Business Mailing Address Details
Address
6441 Holder Rd
City
Clemmons
State
North Carolina
Zip
27012-9207
Phone Number
336-778-8548
Fax Number
336-778-8875
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
HAL-034-062 (North Carolina)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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