Organization
DESHALL'S GARDEN OF LIFE, LLC
Active
Parent organization
DESHALL'S GARDEN OF LIFE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESHALL'S GARDEN OF LIFE, LLC
Authorized official
MS. DESHALL MONIQUE HILL (OWNER)
(845) 728-9166
Entity
Organization
Contact information
Practice address
415 BERKLEY HILL DRIVE, APT 1314, CHARLOTTE, NC 28262
(845) 728-6166
Mailing address
415 BERKLEY HILL DR., #1314, CHARLOTTE, NC 28262-9720
(845) 728-6166
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NC
310400000X
Assisted Living Facility
—
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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