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Organization
REDEEM HOUSE, LLC
Active
Organization
REDEEM HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONDON CORREL DAVIS OWNER (MEMBER/MANGER)
(864) 607-8051
Entity
Organization
Contact information
Practice address
2729 GILLIAM RD, ELON, NC 27244-9162
(864) 607-8051
Mailing address
2729 GILLIAM RD, ELON, NC 27244-9162
(864) 607-8051
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-001-157
NC
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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