# TRULY BLESSED RESIDENTIAL, LLC

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

## Provider details

- **NPI number:** 1508539594
- **Authorized official:** LATOYA SCRIVEN MCMILLER (OWNER/QP)
- **Authorized official phone:** (910) 729-9659

## Contact information

- **Practice address:** 7824 PITTSBORO GOLDSTON RD, BEAR CREEK, NC 27207-9551
- **Practice address phone:** (919) 898-4112
- **Mailing address:** PO BOX 384, SANFORD, NC 27331-0384
- **Mailing address phone:** (910) 729-9659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 07/27/2021