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Organization
RUTHERFORD LIFE SERVICES INC
Active
Organization
RUTHERFORD LIFE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA P FREEMAN QP (EXECUTIVE DIRECTOR)
(828) 286-4352
Entity
Organization
Contact information
Practice address
230 FAIRGROUND RD, SPINDALE, NC 28160-2203
(828) 286-4352
(828) 287-3295
Mailing address
230 FAIRGROUND RD, SPINDALE, NC 28160-2203
(828) 286-4352
(828) 287-3295
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408856
—
NC
05
—
8300120
—
NC
Enumeration date
06/20/2006
Last updated
06/25/2021
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