Organization · NPI-2

C&G Group Home, LLC

Home Health Aide · Winston Salem, NC

NPI number1548975337
StatusActive
Last updated in NPPESMay 23, 2024

Details

NPI
1548975337
Entity type
Organization (NPI-2)
Legal business name
C&G Group Home, LLC
Organization subpart
No
Enumeration date
Jan 17, 2023
Certification date
May 23, 2024
Last updated
May 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––

Practice location

508 E 15th St
Winston Salem, NC 27105-6161

Phone 336-655-7831 · Fax 336-661-3059

Mailing address

6010 Summer Trace Ln
Winston Salem, NC 27105-9124

Phone 336-655-7831 · Fax 336-661-3059

Authorized official

Yvonne Cheeks
President
3366557831

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