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Contact Information

SOUTHERN ASSISTED LIVING, LLC.
2931 VANCE STREET
REIDSVILLE, NC27320
 Phone: 336-634-0002
 Fax: 336-634-2240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for SOUTHERN ASSISTED LIVING, LLC.

NPI # 1861558728
LBN Legal business name SOUTHERN ASSISTED LIVING, LLC.
Authorized official JOANNE LESKOWICZ - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/28/2006
Last updated 04/08/2021 - About 5 years ago
Identifiers
NC Medicaid 7803325
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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