| Life Changez Inc | |
|
800 Perry Howard Rd Fuquay Varina NC 27526-1779 | |
| (919) 803-2799 | |
| Not Available |
| Full Name | Life Changez Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 800 Perry Howard Rd, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Rene Cofer Whitehead (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9195388920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changez Inc 1100 Logger Ct Suite A102 Raleigh NC 27609-8525 Ph: (919) 538-8920 | Life Changez Inc 800 Perry Howard Rd Fuquay Varina NC 27526-1779 Ph: (919) 803-2799 |
| NPI Number | 1689829293 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689829293 | NPI | - | NPPES |
| 6604373 | Medicaid | NC |
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