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Organization

LIKE HOME LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARNIECE GREENE FOUNTAIN (EXECUTIVE DIRECTOR)
(276) 358-0076
Entity
Organization

Contact information

Practice address
2813 COLUMBUS CIR, CHARLOTTE, NC 28208-5013
(276) 358-0076
Mailing address
2813 COLUMBUS CIR, CHARLOTTE, NC 28208-5013
(276) 358-0076

Taxonomy

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

Other

Enumeration date
07/30/2025
Last updated
07/30/2025
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