# TNT TRANSFORMATION HOME LLC

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

## Provider details

- **NPI number:** 1508642018
- **Authorized official:** TIMOTHY BRADSHER (DIRECTOR)
- **Authorized official phone:** (743) 208-3119

## Contact information

- **Practice address:** 305 CLAPP ST, GRAHAM, NC 27253-3111
- **Practice address phone:** (743) 208-3119
- **Mailing address:** 813 WILLIAMS ST, BURLINGTON, NC 27217-1652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2023
- **Last updated:** 09/05/2023
