# REDEEM HOUSE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013100031
- **Authorized official:** MR. LONDON CORREL DAVIS OWNER (MEMBER/MANAGER)
- **Authorized official phone:** (336) 570-6967

## Contact information

- **Practice address:** 2711 MAPLE AVE, BURLINGTON, NC 27215-7117
- **Practice address phone:** (336) 570-6967
- **Mailing address:** 2711 MAPLE AVE, BURLINGTON, NC 27215-7117
- **Mailing address phone:** (336) 570-6967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-001-146 | NC | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 08/22/2007
