# CREATING INDEPENDENCE LLC

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

## Provider details

- **NPI number:** 1720776156
- **Authorized official:** MERCEDES HARRIS (OWNER)
- **Authorized official phone:** (919) 240-8658

## Contact information

- **Practice address:** 317 WOOD ST, GIBSONVILLE, NC 27249-2552
- **Practice address phone:** (475) 471-1400
- **Mailing address:** 1710 E FRANKLIN ST, CHAPEL HILL, NC 27514-5851

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 04/25/2023