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Organization

ADVOCATES FOR LIFE FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAMELIA S MCNEILL BS,QP (EXECUTIVE DIRECTOR)
(910) 805-7802
Entity
Organization

Contact information

Practice address
803 SAVANNAH DR, JACKSONVILLE, NC 28546-9622
(910) 805-7802
Mailing address
803 SAVANNAH DR, JACKSONVILLE, NC 28546-9622
(910) 805-7802

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251B00000X
NC
05
251C00000X
NC
05
251S00000X
NC
05
252Y00000X
NC
05
320800000X
NC
05
320900000X
NC
Enumeration date
08/02/2010
Last updated
08/02/2010
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