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Organization
SISTERLY LOVE
Active
Organization
SISTERLY LOVE
Active
Other names
Sisterly Love
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARONDA FERGUSON (RESIDENTIAL DIRECTOR)
(910) 476-7880
Entity
Organization
Contact information
Practice address
170 CLUB POND RD, RAEFORD, NC 28376-9291
(910) 904-0728
(910) 904-0728
Mailing address
170 CLUB POND RD, RAEFORD, NC 28376-9291
(910) 476-7880
(910) 904-0728
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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