Organization
SOUTHERN STAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA THOMPSON (OWNER/CEO)
(704) 756-6700
Entity
Organization
Contact information
Practice address
309 W PINE ST, GRAHAM, NC 27253-2821
(704) 756-6700
Mailing address
PO BOX 1822, BURLINGTON, NC 27216-1822
(704) 756-6700
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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