# CHANGING LIVES ENRICHMENT CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Changing Lives Residential Care, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922714732
- **Authorized official:** MRS. MICHELLE MILLER (DIRECTOR)
- **Authorized official phone:** (919) 730-9917

## Contact information

- **Practice address:** 25 JENEE LN, DURHAM, NC 27703-2563
- **Practice address phone:** (919) 730-9917
- **Practice address fax:** (919) 267-2662
- **Mailing address:** PO BOX 947, DURHAM, NC 27702-0947
- **Mailing address phone:** (919) 730-9917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2023
- **Last updated:** 02/01/2023