1093991234 INDEPENDENT LIVING GROUP HOME, LLC

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
INDEPENDENT LIVING GROUP HOME, LLC
Enumeration Date
January 17, 2008
Last Update
November 18, 2019
Authorized Official
SHANITA LOVELACE RN
DIRECTOR/ OWNER
Phone: (336) 767-4540

Practice Location

Address
924 CLOISTER DR
WINSTON SALEM, NC 27127
Phone
(336) 767-4540
Fax
(336) 283-9288

Mailing Address

Address
7748 N POINT BLVD
WINSTON SALEM, NC 271063310
Phone
(336) 767-4540
Fax
(336) 499-0651

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Care Home Facility
Adult Care Home
 311ZA0620X Custodial Care Facility N/A N/A No
Intellectual and/or Developmental Disabilities Residential Treatment Facility
 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities 034-224 NC No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health N/A N/A Primary

Additional Practice Locations

1712 Thompson Dr
Winston Salem, NC 271275814

Phone: (336) 788-5781

Fax: (336) 283-9288

1316 Calvert Dr
Winston Salem, NC 271071302

Phone: (336) 842-3384

Fax: (336) 283-9288

2415 Old Salisbury Rd
Winston Salem, NC 271275823

Phone: (336) 788-2319

Fax: (336) 283-9288

355 Ransom Rd
Winston Salem, NC 271063835

Phone: (336) 893-5495

Fax: (336) 283-9288

7748 N Point Blvd
Winston Salem, NC 271063310

Phone: (336) 767-4540 ext. 208

Fax: (336) 283-9288

Frequently Asked Questions

What is INDEPENDENT LIVING GROUP HOME, LLC's NPI number?
INDEPENDENT LIVING GROUP HOME, LLC's NPI number is 1093991234.
Which doctor has NPI number 1093991234?
The doctor with NPI number 1093991234 is INDEPENDENT LIVING GROUP HOME, LLC.
What is INDEPENDENT LIVING GROUP HOME, LLC's practice address?
INDEPENDENT LIVING GROUP HOME, LLC's practice address is 924 CLOISTER DR, WINSTON SALEM, NC, 27127.
Which doctor practices at 924 CLOISTER DR, WINSTON SALEM, NC, 27127?
INDEPENDENT LIVING GROUP HOME, LLC practices at 924 CLOISTER DR, WINSTON SALEM, NC, 27127.
What is INDEPENDENT LIVING GROUP HOME, LLC's mailing address?
INDEPENDENT LIVING GROUP HOME, LLC's mailing address is 7748 N POINT BLVD, WINSTON SALEM, NC, 271063310.
What is INDEPENDENT LIVING GROUP HOME, LLC's phone number?
INDEPENDENT LIVING GROUP HOME, LLC's phone number is (336) 767-4540.
Who is (336) 767-4540?
(336) 767-4540 is the phone number for INDEPENDENT LIVING GROUP HOME, LLC.
What is INDEPENDENT LIVING GROUP HOME, LLC's specialty?
INDEPENDENT LIVING GROUP HOME, LLC's specialty is Community/Behavioral Health Agency.
What type of doctor is INDEPENDENT LIVING GROUP HOME, LLC?
INDEPENDENT LIVING GROUP HOME, LLC is a Community/Behavioral Health Agency.
Is INDEPENDENT LIVING GROUP HOME, LLC a Community/Behavioral Health?
Yes, INDEPENDENT LIVING GROUP HOME, LLC is a Community/Behavioral Health.
Is INDEPENDENT LIVING GROUP HOME, LLC still practicing?
Yes, INDEPENDENT LIVING GROUP HOME, LLC is currently practicing.
Is INDEPENDENT LIVING GROUP HOME, LLC accepting new patients?
INDEPENDENT LIVING GROUP HOME, LLC may be accepting new patients. Please call their office at (336) 767-4540 to inquire about availability.
Is NPI 1093991234 still active?
Yes, NPI 1093991234 is currently active.
Where does INDEPENDENT LIVING GROUP HOME, LLC practice?
INDEPENDENT LIVING GROUP HOME, LLC practices in WINSTON SALEM, NC.