Organization
INDEPENDENT LIVING WITH TERESA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERES LAVERNE BRIGGS ADMINISTRATOR (OWNER)
(828) 384-3636
Entity
Organization
Contact information
Practice address
840 SHARON WAY APT 1E, HIGH POINT, NC 27260-7544
(980) 365-9247
Mailing address
315 E GREEN DR UNIT 1143, HIGH POINT, NC 27261-1079
(828) 384-3636
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205593803
—
NC
Enumeration date
03/29/2022
Last updated
03/29/2022
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