# S&K GRACIOUS LIVING LLC

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

## Provider details

- **NPI number:** 1053588277
- **Authorized official:** MRS. JANICE S BEATTY (OWNER/DIRECTOR)
- **Authorized official phone:** (910) 532-4775

## Contact information

- **Practice address:** 595 BLAND SCHOOL RD, HARRELLS, NC 28444-7601
- **Practice address phone:** (910) 532-4775
- **Mailing address:** 376 BUCKHORN RD, WILLARD, NC 28478-9666
- **Mailing address phone:** (910) 532-4775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL082-074 | NC | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008