St. Gale'S Manor
Point of Service in Greensboro, NC. Organization (NPI-2).
NPI number1861690877
StatusActive
Last updated in NPPESJun 25, 2008
Details
- NPI
- 1861690877
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Gale'S Manor
- Organization subpart
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- Jun 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | HAL-041-023 | NC | Yes |
Practice location
1411 Lees Chapel RdGreensboro, NC 27405-1615
Phone 336-621-5336
Mailing address
Po Box 14982Greensboro, NC 27415-4982
Phone 336-691-5388 · Fax 336-691-5389
Authorized official
James Jr. Lawson
President
3366215336
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