Organization
REDEEM HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONDON CORREL DAVIS OWNER (MEMBER/MANAGER)
(336) 570-6967
Entity
Organization
Contact information
Practice address
2711 MAPLE AVE, BURLINGTON, NC 27215-7117
(336) 570-6967
Mailing address
2711 MAPLE AVE, BURLINGTON, NC 27215-7117
(336) 570-6967
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-001-146
NC
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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