# MARTIN LIVING CORPORATION

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

## Provider details

- **NPI number:** 1790120384
- **Authorized official:** MISS BARBARA ANN RIDGELL (PRESIDENT/CEO)
- **Authorized official phone:** (910) 658-1254

## Contact information

- **Practice address:** 61 THOMAS DICKENS RD, 61 THOMAS DICKENS ROAD, LILLINGTON, NC 27546-7606
- **Practice address phone:** (910) 658-1254
- **Mailing address:** PO BOX 2201, 61 THOMAS DICKENS ROAD, LILLINGTON, NC 27546-2201
- **Mailing address phone:** (910) 658-1254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | MHL-043-090 | NC | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 09/02/2014