Organization
CREATIVELY RENEWED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA E WILEY (CEO)
(336) 512-3011
Entity
Organization
Contact information
Practice address
1006 RICHMOND AVE, BURLINGTON, NC 27217-1525
(336) 512-3011
Mailing address
1006 RICHMOND AVE, BURLINGTON, NC 27217-1525
(336) 512-3011
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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