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NPI Code Detail

MEDICARE: PRESTON OPERATIONS, LLC

MEDICARE: PRESTON OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home FacilityHAL060154NC

General Provider Information

NPI Number : 1134622319
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESTON OPERATIONS, LLC
Provider Business Mailing Address
First Line : 853 OLD WINSTON RD STE 118
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-8781
Country : US
Telephone Number : 339-993-7555
Fax Number : 336-993-6111
Provider Business Practice Location Address
First Line : 4910 HARRIS WOODS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-0486
Country : US
Telephone Number : 336-993-7555
Fax Number : 336-993-6111
Authorized Official
Title or Position : VP FINANCE
Name : CINDY ANN NEAGLE
Credential :
Telephone Number : 336-993-7555
Provider Enumeration Date : 03/14/2018
Last Update Date : 10/12/2020

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Directions to “PRESTON OPERATIONS, LLC ” Practice Location

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