Organization
CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALIND DILLON (PROGRAM DIRECTOR)
(919) 774-6433
Entity
Organization
Contact information
Practice address
209 COLE ST, SANFORD, NC 27330-4264
(919) 774-6433
(919) 777-9251
Mailing address
209 COLE ST, SANFORD, NC 27330-4264
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409459
—
NC
Enumeration date
02/27/2007
Last updated
08/22/2020
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