Healthcare Provider Details
I. General information
NPI: 1740990373
Provider Name (Legal Business Name): ALL-TOGETHER ADULT DAY PROGRAM LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2022
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 W MEADOWVIEW RD STE 203
GREENSBORO NC
27407-3711
US
IV. Provider business mailing address
3001 SOUTH HOLDEN ROAD APT - B
GREENSBORO NC
27407-6650
US
V. Phone/Fax
- Phone: 336-965-0549
- Fax:
- Phone: 336-327-3212
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
DONNA
WARDLOW
BROWN
Title or Position: CEO/PROGRAM DIRECTOR
Credential: REGISTER NURSE
Phone: 336-327-3212