# INDEPENDENT HEALING LLC

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

## Provider details

- **NPI number:** 1225306731
- **Authorized official:** MR. EDWIN BALLARD SMITH JR. (MANAGER OF OPERATIONS)
- **Authorized official phone:** (866) 825-5057

## Contact information

- **Practice address:** 811 S 12TH ST, LILLINGTON, NC 27546-6865
- **Practice address phone:** (866) 825-5057
- **Mailing address:** 811 S 12TH ST, LILLINGTON, NC 27546-6865
- **Mailing address phone:** (866) 825-5057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 311ZA0620X | NC | Yes |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 12/12/2011