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Organization

ASSISTED LIFESTYLE, INC.

Active
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Organization

ASSISTED LIFESTYLE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ALLEN (PRESIDENT)
(704) 662-9911
Entity
Organization

Contact information

Practice address
470 N BROAD ST, SUITE E, MOORESVILLE, NC 28115-3083
(704) 662-9911
Mailing address
470 N BROAD ST, SUITE E, MOORESVILLE, NC 28115-3083
(704) 662-9911

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
HC2245
NC

Other

Enumeration date
10/18/2010
Last updated
12/02/2022
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