The Crest Of Clemmons

LBN: The Crest Of Clemmons
The Crest Of Clemmons is an health care organization with primary practice located at 6010 Meadowbrook Mall Ct , Clemmons NC 27012-9266. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. The Crest Of Clemmons can be contacted via phone (336) 766-8050, or through George, Pandora via phone (336) 766-8050.

Contact Information

Primary practice address
6010 Meadowbrook Mall Ct Clemmons NC 27012-9266
Phone: (336) 766-8050
Fax: (336) 766-8054
Website:
Map and Directions
Authorized official contact:
Name: George, Pandora
Phone: (336) 766-8050

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-034-082 North Carolina

Profile Details

NPI number 1033328083
LBN Legal business name The Crest Of Clemmons
DBA Doing business as
Authorized official George, Pandora
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jul 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033328083 NPPES
North Carolina MEDICAID 7805776

Popular Providers