Provider Demographics
NPI:1477260677
Name:MANKIND LLC
Entity Type:Organization
Organization Name:MANKIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEVERETT
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:336-829-3600
Mailing Address - Street 1:3111 EMERSON CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-4021
Mailing Address - Country:US
Mailing Address - Phone:336-829-3600
Mailing Address - Fax:
Practice Address - Street 1:2065 CHUB LAKE RD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27574-7147
Practice Address - Country:US
Practice Address - Phone:336-829-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility