Organization
ENHANCING THE QUALITY OF LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL DENISE GUNTER (CEO)
(704) 699-9297
Entity
Organization
Contact information
Practice address
1036 BRANCHVIEW DR STE 104, CONCORD, NC 28025-0112
(980) 248-1900
(855) 552-0225
Mailing address
1036 BRANCHVIEW DR STE 104, CONCORD, NC 28025-0112
(980) 248-1900
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/07/2021
Last updated
04/19/2022
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