# LIFETOUCH CENTER

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

## Provider details

- **NPI number:** 1659614790
- **Authorized official:** MR. RODNEY ANTONIO EDWARDS SR. BSQP (DIRECTOR/QP)
- **Authorized official phone:** (336) 862-5013

## Contact information

- **Practice address:** 414 OTTERAY AVE, HIGH POINT, NC 27262-2918
- **Practice address phone:** (276) 229-7927
- **Mailing address:** 1608 BALLARD CT, KERNERSVILLE, NC 27284-7936
- **Mailing address phone:** (276) 229-7927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 16235 | NC | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013
