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Organization

LYDIA'S HOME LLC

Active
Other names
Lydia's Home, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL PRESSLEY (DIRECTOR)
(336) 855-6937
Entity
Organization

Contact information

Practice address
2704 GRIMSLEY ST, GREENSBORO, NC 27403-3138
(336) 456-7248
Mailing address
2704 GRIMSLEY ST, GREENSBORO, NC 27403-3138
(336) 456-7248

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/31/2007
Last updated
02/14/2025
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