institution
J. L. Redford, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winston Salem, North Carolina
NPI 1932215886

J. L. Redford, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Winston Salem, NC. J. L. Redford, Inc. practices in Winston Salem, NC. The NPI Number for J. L. Redford, Inc. is 1932215886 and holds a License No. 4537 (North Carolina).

The current practice location address for J. L. Redford, Inc. is 1922 Martin Luther King, Jr. Drive, Winston Salem, NC and can be reached out via phone at 336-972-0053 and via fax at 336-720-9521.

Location: 1922 Martin Luther King, Jr. Drive, Winston Salem, NC, 27107-1361
institution
Provider Profile Details
NPI Number
1932215886
Provider Name
J. L. Redford, Inc.
Credential
Provider Entity Type
Organization
Address
1922 Martin Luther King, Jr. Drive, Winston Salem, NC, 27107-1361
Phone Number
336-972-0053
Fax Number
336-720-9521
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409110 05 NC
institution
Provider Business Practice Location Address Details
Address
1922 Martin Luther King, Jr. Drive
City
State
Zip
27107-1361
Phone Number
336-972-0053
Fax Number
336-720-9521
person
Provider Business Mailing Address Details
Address
1922 Martin Luther King, Jr. Drive
City
State
Zip
27107-1361
Phone Number
336-972-0053
Fax Number
336-720-9521
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
4537 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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