# MAJESTIC CARE LIVING SERVICES CORP

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

## Provider details

- **NPI number:** 1063260016
- **Authorized official:** CYSHELLE GRAHAM (CEO)
- **Authorized official phone:** (910) 699-3030

## Contact information

- **Practice address:** 303 CARRIAGE LN, RAEFORD, NC 28376-8245
- **Practice address phone:** (910) 699-3030
- **Mailing address:** 2950 LINDSAY RD STE 28, RAEFORD, NC 28376-5910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 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