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Organization
MAJESTIC CARE LIVING SERVICES CORP
Active
Organization
MAJESTIC CARE LIVING SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYSHELLE GRAHAM (CEO)
(910) 699-3030
Entity
Organization
Contact information
Practice address
303 CARRIAGE LN, RAEFORD, NC 28376-8245
(910) 699-3030
Mailing address
2950 LINDSAY RD STE 28, RAEFORD, NC 28376-5910
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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