institution
Crystal E.nickerson, Llc
Respite Care in Greensboro, North Carolina
NPI 1932479045

Crystal E.nickerson, Llc is a Respite Care based in Greensboro, NC. Crystal E.nickerson, Llc practices in Greensboro, NC. The NPI Number for Crystal E.nickerson, Llc is 1932479045 and holds a License No. (North Carolina).

The current practice location address for Crystal E.nickerson, Llc is 2302 W Meadowview Rd, Greensboro, NC and can be reached out via phone at 336-617-0764 and via fax at 336-617-0964. You can also correspond with Crystal E.nickerson, Llc through the mailing address at 2302 W MEADOWVIEW RD, GREENSBORO, NC - 27407-3721 (mailing address contact number: 336-617-0764).

Location: 2302 W Meadowview Rd, Greensboro, NC, 27407-3721
institution
Provider Profile Details
NPI Number
1932479045
Provider Name
Crystal E.nickerson, Llc
Credential
Provider Entity Type
Organization
Address
2302 W Meadowview Rd, Greensboro, NC, 27407-3721
Phone Number
336-617-0764
Fax Number
336-617-0964
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3418853 05 NC
8702219 05 NC
institution
Provider Business Practice Location Address Details
Address
2302 W Meadowview Rd
City
State
Zip
27407-3721
Phone Number
336-617-0764
Fax Number
336-617-0964
person
Provider Business Mailing Address Details
Address
2302 W Meadowview Rd
City
State
Zip
27407-3721
Phone Number
336-617-0764
Fax Number
336-617-0964
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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