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General NPI Number Information
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NPI Number | 1356280820
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Entity Type | Organization
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Legal Business Name | THALIA GARDENS ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 275 CARLILE DR
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City | LEXINGTON
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State | NC
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Zip | 27295-5293
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Country | US
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Telephone | 743-238-3940
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Fax | 336-590-9146
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Provider Business Mailing Address
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Address Line | 615 SAINT GEORGE SQUARE CT STE 300
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1368
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Country | US
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Telephone | 743-238-3940
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Fax | 743-238-3940
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KAREN CHARLENE JOHNSON
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Credential |
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Telephone | 743-238-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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