Provider Demographics
NPI:1942501382
Name:GUILFORD- NEIGHBOR TO FAMILY, INC
Entity Type:Organization
Organization Name:GUILFORD- NEIGHBOR TO FAMILY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-523-1440
Mailing Address - Street 1:1050 REVOLUTION MILL DR
Mailing Address - Street 2:STUDIO 5
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-5052
Mailing Address - Country:US
Mailing Address - Phone:336-373-1880
Mailing Address - Fax:336-373-1878
Practice Address - Street 1:1050 REVOLUTION MILL DR
Practice Address - Street 2:STUDIO 5
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5052
Practice Address - Country:US
Practice Address - Phone:336-373-1880
Practice Address - Fax:336-373-1878
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIGHBOR TO FAMILY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service