Healthcare Provider Details

I. General information

NPI: 1477683720
Provider Name (Legal Business Name): ADULT CENTER FOR ENRICHMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 OAK BRANCH DR SUITE B
GREENSBORO NC
27407-2453
US

IV. Provider business mailing address

5603 NEW GARDEN VILLAGE DRIVE
GREENSBORO NC
27410
US

V. Phone/Fax

Practice location:
  • Phone: 336-274-3559
  • Fax: 336-373-0926
Mailing address:
  • Phone: 336-545-5352
  • Fax: 336-886-4102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH ALLAN TUTTEROW
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 336-545-5418