| Changing Lives Family Care Home Llc | |
|
823 Day Ave Burlington NC 27217-2505 | |
| (336) 516-7296 | |
| Not Available |
| Full Name | Changing Lives Family Care Home Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 823 Day Ave, Burlington, North Carolina |
| Authorized Official Name and Position | Quentin Pulliam (DIRECTOR) |
| Authorized Official Contact | 3365167296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lives Family Care Home Llc 823 Day Ave Burlington NC 27217-2505 Ph: (336) 516-7296 | Changing Lives Family Care Home Llc 823 Day Ave Burlington NC 27217-2505 Ph: (336) 516-7296 |
| NPI Number | 1346681426 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346681426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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