Organization
S&K GRACIOUS LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE S BEATTY (OWNER/DIRECTOR)
(910) 532-4775
Entity
Organization
Contact information
Practice address
595 BLAND SCHOOL RD, HARRELLS, NC 28444-7601
(910) 532-4775
Mailing address
376 BUCKHORN RD, WILLARD, NC 28478-9666
(910) 532-4775
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL082-074
NC
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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